A list of the most recent deficiencies for Stonebrooke Rehabilitation 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-26 | 2023-10-20 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-16 | 2023-04-03 | 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 | 2023-02-16 | 2023-04-03 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-01-24 | 2023-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-24 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-24 | 2023-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-24 | 2023-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-24 | 2023-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-24 | 2023-03-01 | 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 | 2023-01-24 | 2023-03-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-24 | 2023-03-01 | 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 | 2023-01-24 | 2023-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-24 | 2023-03-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-01-24 | 2023-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-24 | 2023-03-01 | Y |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2020-02-17 | 2020-03-18 | 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 | 2020-02-17 | 2020-03-18 | 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 | 2020-02-17 | 2020-03-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-17 | 2020-03-18 | 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 | 2020-02-17 | 2020-03-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-12-16 | 2020-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-16 | 2020-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-05 | 2018-12-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-11-05 | 2018-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-05 | 2018-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-05 | 2018-12-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-11-05 | 2018-12-05 | 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 | 2018-11-05 | 2018-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-05 | 2018-12-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-01 | 2018-12-01 | 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 | 2018-11-01 | 2018-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
