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Deficiency Records for Stephenson Nursing Center
View the most recent health deficiencies and inspection results for Stephenson Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Stephenson Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-17 | 2026-02-27 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-04 | 2025-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-27 | 2025-06-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-03 | 2025-04-11 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-04 | 2025-03-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-04 | 2025-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-04 | 2025-02-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-02-04 | 2025-02-28 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-02-04 | 2025-02-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-02-04 | 2025-02-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-04 | 2025-02-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-02-04 | 2025-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-04 | 2025-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-04 | 2025-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-04 | 2025-02-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-04 | 2025-02-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-02-04 | 2025-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-04 | 2025-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-04 | 2025-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-30 | 2024-05-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-30 | 2024-05-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-18 | 2024-03-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-18 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-18 | 2024-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-02-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-18 | 2024-02-10 | 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 | 2024-01-18 | 2024-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-18 | 2024-02-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-18 | 2024-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-09 | 2024-01-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-09 | 2024-01-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-09 | 2024-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-01-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-12 | 2023-12-19 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-08 | 2023-03-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-08 | 2023-03-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-12-08 | 2023-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-02-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-08 | 2023-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-08 | 2023-02-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-08 | 2023-02-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-08 | 2023-01-19 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-08 | 2023-01-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-12-08 | 2022-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-08 | 2022-12-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-08 | 2022-12-31 | 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 | 2022-12-08 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2022-12-31 | N |