CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Retreat at The Stratford
View the most recent health deficiencies and inspection results for The Retreat at The Stratford. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Retreat at The Stratford. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-12 | 2026-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-12 | 2026-03-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2026-02-12 | 2026-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-12 | 2026-03-10 | 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 | 2026-02-12 | 2026-03-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-12 | 2026-02-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-03-07 | 2025-07-03 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-03-07 | 2025-07-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-07 | 2025-07-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-07 | 2025-06-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-06-02 | 2025-06-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-02 | 2025-05-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-07 | 2025-04-02 | 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 | 2025-03-07 | 2025-04-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-07 | 2025-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-07 | 2025-04-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-07 | 2025-04-02 | 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 | 2025-03-07 | 2025-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-05 | 2024-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-05 | 2024-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-05 | 2024-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-05 | 2024-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-05 | 2024-06-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-05 | 2024-06-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-05 | 2024-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-02-21 | Y |