A list of the most recent deficiencies for Stella Maris, Inc.. 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 organize and participate in resident/family groups in the facility. | Health | 2022-05-11 | 2022-08-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-11 | 2022-08-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-11 | 2022-08-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-11 | 2022-08-03 | 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 | 2022-05-11 | 2022-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-11 | 2022-08-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-11 | 2022-08-03 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-11 | 2022-08-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-11 | 2022-08-03 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-05-11 | 2022-08-03 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-05-11 | 2022-08-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-11 | 2022-08-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-11 | 2022-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-08-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-29 | 2022-06-30 | 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 | 2022-04-29 | 2022-06-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-04-29 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-04-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-09-21 | 2018-11-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-21 | 2018-11-02 | 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 | 2018-09-21 | 2018-11-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-21 | 2018-11-02 | 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 | 2018-09-21 | 2018-11-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-21 | 2018-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-21 | 2018-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-04 | 2018-11-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-04 | 2018-11-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-04 | 2018-11-02 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-10-04 | 2018-11-02 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2018-10-04 | 2018-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-04 | 2018-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-14 | 2017-08-14 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2017-06-14 | 2017-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-14 | 2017-08-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-22 | 2017-07-05 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-22 | 2017-07-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-22 | 2017-07-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-22 | 2017-07-05 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-22 | 2017-07-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-22 | 2017-07-01 | N |
