A list of the most recent deficiencies for Staunton Health and Rehab Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-19 | 2024-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-19 | 2024-01-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-19 | 2024-01-05 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-17 | 2023-03-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-02-17 | 2023-03-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-02-17 | 2023-03-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-02-10 | 2023-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-10 | 2023-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-17 | 2023-02-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-20 | 2022-02-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-20 | 2022-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-20 | 2022-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-20 | 2022-02-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-20 | 2022-02-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-20 | 2022-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-20 | 2022-02-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-26 | 2020-03-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-26 | 2020-03-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-26 | 2020-03-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-26 | 2020-03-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-26 | 2020-03-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-21 | 2020-02-24 | N |
