Deficiency Records for Stoneybrook Retirement Community
Updated as of November 01, 2023
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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-05 | 2023-05-19 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-05 | 2023-05-19 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-05 | 2023-05-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-05 | 2023-05-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-05 | 2023-05-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-05 | 2023-05-19 | 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 | 2023-04-05 | 2023-05-19 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-05 | 2023-05-19 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-05 | 2023-05-19 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-05 | 2023-05-19 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-04-05 | 2023-05-19 | 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 | 2023-04-05 | 2023-05-19 | 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 | 2023-04-05 | 2023-05-19 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-04-05 | 2023-05-19 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-05 | 2023-05-19 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-05 | 2023-05-19 | N |
Install noncombustible or limited-combustible interior walls. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-12 | 2023-05-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-01-31 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-10 | 2022-09-08 | Y |
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 |
Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 |
Ensure staff are vaccinated for COVID-19 | Health | 2022-06-06 | Not Fixed | N |