A list of the most recent deficiencies for Stonegate Health Campus. 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 | 2024-01-09 | 2024-02-08 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-01-09 | 2024-02-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-09 | 2024-02-08 | 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 | 2024-01-09 | 2024-02-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-09 | 2024-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-09 | 2024-02-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-02-08 | 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 | 2024-01-09 | 2024-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-09 | 2024-02-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-09 | 2024-02-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-09 | 2024-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-09 | 2024-02-08 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-06-07 | 2023-06-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-07 | 2023-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-07 | 2023-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-07 | 2023-06-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-07 | 2023-06-30 | Y |
| Post nurse staffing information every day. | Health | 2023-06-07 | 2023-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-10 | 2022-10-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-10 | 2022-10-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-10 | 2022-10-28 | 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 | 2022-10-10 | 2022-10-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-10 | 2022-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-10 | 2022-10-28 | 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 | 2022-10-10 | 2022-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-10 | 2022-10-28 | N |
| Provide appropriate foot care. | Health | 2022-10-10 | 2022-10-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-10-10 | 2022-10-28 | 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 | 2022-10-10 | 2022-10-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-10 | 2022-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-10 | 2022-10-28 | 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 | 2022-10-10 | 2022-10-28 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-10-10 | 2022-10-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-10 | 2022-10-28 | 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 | 2022-10-10 | 2022-10-28 | 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 | 2022-10-10 | 2022-10-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-10-10 | 2022-10-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-10 | 2022-10-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-10 | 2022-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-10 | 2022-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-10 | 2022-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-13 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-15 | 2022-10-13 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-05 | 2021-09-10 | 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 | 2021-08-05 | 2021-09-10 | 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 | 2021-08-05 | 2021-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-12 | 2021-08-30 | 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 | 2021-08-12 | 2021-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-12 | 2021-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-12 | 2021-08-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-12 | 2021-08-30 | 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 | 2021-08-12 | 2021-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-12 | 2021-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-18 | 2021-06-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-18 | 2021-06-23 | Y |
