A list of the most recent deficiencies for Stonebridge Desoto. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-09 | 2024-08-09 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-02-09 | 2024-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-09 | 2024-03-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-02-09 | 2024-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-09 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-09 | 2024-03-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-09 | 2024-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-09 | 2024-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-20 | 2023-10-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-05 | 2022-09-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-05 | 2022-09-06 | 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 | 2022-08-05 | 2022-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-05 | 2022-09-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-05 | 2022-09-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-05 | 2022-08-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-12-19 | 2020-02-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-19 | 2020-02-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-12-19 | 2020-02-04 | N |
| Post nurse staffing information every day. | Health | 2019-12-19 | 2020-02-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-19 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-02-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-19 | 2020-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-19 | 2020-02-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-19 | 2020-02-04 | N |
