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Deficiency Records for Leisure Homestead at Stafford

View the most recent health deficiencies and inspection results for Leisure Homestead at Stafford. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Leisure Homestead at Stafford. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-08-20 2025-11-19 N
Use approved construction type or materials. Fire Safety 2025-08-20 2025-11-19 N
Have proper medical gas storage and administration areas. Fire Safety 2025-08-20 2025-11-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-08-20 2025-11-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-08-20 2025-11-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-08-20 2025-11-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-08-20 2025-11-19 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 2025-08-20 2025-11-19 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-08-20 2025-11-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-08-20 2025-10-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-08-20 2025-10-24 N
Provide properly protected cooking facilities. Fire Safety 2025-08-20 2025-10-24 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-08-20 2025-09-27 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-08-20 2025-09-27 Y
Keep all essential equipment working safely. Health 2025-08-20 2025-09-27 N
Provide and implement an infection prevention and control program. Health 2025-08-20 2025-09-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-08-20 2025-09-27 N
Post nurse staffing information every day. Health 2025-08-20 2025-09-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-20 2025-09-27 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-08-20 2025-09-27 N
Ensure each resident receives an accurate assessment. Health 2023-09-21 2023-10-21 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 2023-09-21 2023-10-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-21 2023-10-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-21 2023-10-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-21 2023-10-21 N
Provide and implement an infection prevention and control program. Health 2023-09-21 2023-10-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-09-21 2023-10-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-21 2023-10-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-09-21 2023-10-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-21 2023-10-13 N
Provide and implement an infection prevention and control program. Health 2021-12-08 2022-01-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-08 2022-01-22 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 2021-12-08 2022-01-22 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-12-08 2022-01-22 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 2021-12-08 2022-01-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-08 2022-01-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-08 2022-01-13 N

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