Deficiency Records for Stephenson Nursing Center
Updated as of March 01, 2022
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-02-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-30 | 2021-10-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-30 | 2021-10-15 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-27 | 2021-06-30 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-27 | 2021-06-30 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2021-05-27 | 2021-06-30 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2021-05-27 | 2021-06-30 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-27 | 2021-06-30 | N |
Establish emergency prep training and testing. | Fire Safety | 2021-05-27 | 2021-06-30 | N |
Provide primary/alternate means for communication. | Fire Safety | 2021-05-27 | 2021-06-15 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-05-27 | 2021-06-15 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-05-27 | 2021-06-15 | 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 | 2021-05-27 | 2021-06-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-05-27 | 2021-06-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-27 | 2021-06-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-12 | 2021-05-27 | 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 | 2021-05-12 | 2021-05-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-12 | 2021-05-27 | N |
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 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-26 | 2020-12-17 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-26 | 2020-12-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-10-26 | 2020-12-01 | 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 |
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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 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 |