Deficiency Records for Stephenson Nursing Center
Updated as of August 01, 2018
This is not the most recent data for Stephenson Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Stephenson Nursing Center. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-09 | 2018-05-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-05-09 | 2018-05-25 | Y |
| Provide appropriate foot care. | Health | 2018-05-09 | 2018-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-05-09 | 2018-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-01 | 2018-05-14 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-01-30 | 2018-04-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-01-30 | 2018-03-17 | 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 | 2018-01-30 | 2018-03-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-30 | 2018-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-30 | 2018-02-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-01-30 | 2018-02-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-31 | 2018-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-31 | 2018-02-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-31 | 2018-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-31 | 2018-02-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-01-31 | 2018-02-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-31 | 2018-02-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-31 | 2018-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-31 | 2018-02-20 | 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 | 2018-01-31 | 2018-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-31 | 2018-02-20 | N |
| 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 | 2018-01-30 | 2018-02-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-30 | 2018-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-01-30 | 2018-02-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-01-30 | 2018-02-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-30 | 2018-02-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-12 | 2018-01-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-12 | 2018-01-26 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-21 | 2017-12-08 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-02-24 | 2017-03-06 | 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 | 2017-02-24 | 2017-03-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-16 | 2017-03-03 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-02-16 | 2017-03-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-16 | 2017-03-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-16 | 2017-03-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-02-24 | 2017-03-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-24 | 2017-03-02 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-12 | 2016-04-28 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-04-12 | 2016-04-21 | Y |
| An externally vented heating system. | Fire Safety | 2016-03-04 | 2016-04-11 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-04 | 2016-04-09 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-03-04 | 2016-04-09 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-03-04 | 2016-04-08 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-03-04 | 2016-04-06 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-03-04 | 2016-03-30 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-03-03 | 2016-03-21 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-03-04 | 2016-03-17 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-04 | 2016-03-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-04 | 2016-03-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-04 | 2016-03-10 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-03-04 | 2016-03-07 | N |
| Portable fire extinguishers. | Fire Safety | 2016-03-04 | 2016-03-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-03 | 2016-03-04 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-03-03 | 2016-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-03 | 2016-03-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-03 | 2016-03-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-03 | 2016-03-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-03 | 2016-03-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-03 | 2016-03-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-03 | 2016-03-04 | Y |
