Deficiency Records for Copley at Stoughton Nursing Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Copley at Stoughton Nursing 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-10-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-23 | 2023-09-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-23 | 2023-09-29 | N |
| Have an externally vented heating system. | Fire Safety | 2023-08-23 | 2023-09-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-23 | 2023-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-23 | 2023-09-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-31 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-31 | 2023-08-18 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-07-31 | 2023-08-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-31 | 2023-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-31 | 2023-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-28 | 2022-04-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-28 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-28 | 2022-04-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-28 | 2022-04-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-28 | 2022-04-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-28 | 2022-04-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Respond appropriately to all alleged violations. | Health | 2022-02-28 | 2022-03-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-02 | 2021-12-31 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-11-02 | 2021-12-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-02 | 2021-12-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-02 | 2021-12-31 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-29 | 2019-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-11 | 2019-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-29 | 2019-08-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-11 | 2019-08-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-29 | 2019-08-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-07-11 | 2019-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-29 | 2019-08-12 | N |
