Deficiency Records for Stoneybrook Retirement Community
Updated as of April 01, 2022
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? |
---|---|---|---|---|
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 | 2021-11-09 | 2021-12-09 | 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 | 2021-11-09 | 2021-12-09 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-09 | 2021-12-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-27 | 2021-10-27 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-27 | 2021-10-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-27 | 2021-10-27 | N |
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 | 2021-09-27 | 2021-10-27 | 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 | 2021-09-27 | 2021-10-27 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-09-27 | 2021-10-27 | N |
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 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-01-08 | 2019-01-31 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-08 | 2019-01-31 | 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 | 2019-01-08 | 2019-01-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-08 | 2019-01-31 | 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 | 2019-01-08 | 2019-01-31 | N |
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 | 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 | 2019-01-08 | 2019-01-31 | N |
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 |