Deficiency Records for Stratford Commons Rehab and Health Care Center
Updated as of May 01, 2022
This is not the most recent data for Stratford Commons Rehab and Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Stratford Commons Rehab and Health Care Center. 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? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-07 | 2021-05-17 | 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 | 2021-04-07 | 2021-05-17 | N |
Install proper backup exit lighting. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-07 | 2021-05-17 | 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 | 2021-04-07 | 2021-05-17 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-07 | 2021-05-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-11 | 2021-04-29 | N |
Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-29 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-11 | 2021-04-06 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-11 | 2021-04-06 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-11 | 2021-04-06 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-11 | 2021-04-06 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-11 | 2021-04-06 | 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 | 2021-03-11 | 2021-04-06 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-11 | 2021-04-06 | 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 | 2021-03-11 | 2021-04-06 | N |
Provide and implement an infection prevention and control program. | Health | 2020-12-30 | 2021-01-15 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-22 | 2019-09-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-08-22 | 2019-09-18 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
Install proper backup exit lighting. | Fire Safety | 2018-09-27 | 2018-12-01 | N |
Provide emergency officials' contact information. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-10-27 | 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 | 2018-08-09 | 2018-09-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-09 | 2018-09-05 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-09 | 2018-09-05 | 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 | 2018-08-09 | 2018-09-05 | N |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-08-09 | 2018-09-05 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-09-05 | N |