Deficiency Records for Stoneybrook Retirement Community
Updated as of October 01, 2021
This is not the most recent data for Stoneybrook Retirement Community. For the most recent information, click here.
A list of the most recent deficiencies for Stoneybrook Retirement Community. 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-10-27 | 2020-10-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-07-29 | 2020-07-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-22 | 2020-07-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-07-22 | 2020-07-23 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-08-06 | 2019-09-23 | 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 | 2019-08-06 | 2019-09-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-06 | 2019-09-23 | 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 | 2019-08-14 | 2019-09-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-14 | 2019-08-27 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-14 | 2019-08-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-14 | 2019-08-23 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-14 | 2019-08-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-14 | 2019-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-14 | 2019-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-14 | 2019-08-23 | 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 | 2019-08-14 | 2019-08-23 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-08-14 | 2019-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-14 | 2019-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-08-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-01-08 | 2019-01-31 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-01-08 | 2019-01-31 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-08 | 2019-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-08 | 2019-01-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-08 | 2019-01-31 | Y |
| 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 | 2019-01-08 | 2019-01-31 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-01-08 | 2019-01-31 | Y |
| 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 | 2019-01-08 | 2019-01-31 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Develop a communication plan. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-03 | 2018-08-10 | 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 | 2018-07-03 | 2018-08-10 | 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 | 2018-07-03 | 2018-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-03 | 2018-08-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-30 | 2017-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-30 | 2017-09-15 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-08-30 | 2017-09-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-30 | 2017-09-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-30 | 2017-09-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-30 | 2017-09-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Use approved construction type or materials. | Fire Safety | 2017-02-09 | 2017-03-30 | 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 | 2017-02-09 | 2017-03-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-02-09 | 2017-03-30 | 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 | 2017-02-09 | 2017-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Have an externally vented heating system. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-09 | 2017-03-30 | N |
