Deficiency Records for Stephenson Nursing Center
Updated as of April 01, 2021
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-22 | 2021-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-24 | 2020-12-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-03-11 | 2020-04-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-15 | 2020-01-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-15 | 2020-01-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-15 | 2019-12-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-11-15 | 2019-12-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-08 | 2019-11-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-08 | 2019-11-26 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-08 | 2019-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-08 | 2019-11-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-11-08 | 2019-11-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-08 | 2019-11-26 | 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 | 2019-11-08 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-11-26 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-11-08 | 2019-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-11-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-08 | 2019-11-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-11-15 | 2019-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-15 | 2019-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-25 | 2019-05-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-04-25 | 2019-05-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-04-25 | 2019-05-13 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-04-25 | 2019-05-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-25 | 2019-05-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-06 | 2019-02-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-14 | 2019-01-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-12-14 | 2019-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-14 | 2019-01-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-14 | 2019-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-14 | 2019-01-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-14 | 2019-01-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-18 | 2019-01-02 | 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 | 2018-12-18 | 2019-01-02 | 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 | 2018-12-18 | 2019-01-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-18 | 2019-01-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-14 | 2018-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-14 | 2018-12-19 | N |
| 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 |
