A list of the most recent deficiencies for Stonebridge Oak Tree. 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 | 2023-11-22 | 2023-12-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-22 | 2023-12-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-22 | 2023-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-22 | 2023-12-29 | 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 | 2023-11-22 | 2023-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-22 | 2023-12-29 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-22 | 2023-11-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-22 | 2023-11-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-22 | 2023-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-22 | 2023-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-27 | 2023-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-02-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-02-13 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-03 | 2022-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-03 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-03 | 2022-07-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-03 | 2022-07-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-03 | 2022-06-29 | 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 | 2022-06-03 | 2022-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-03 | 2022-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-03 | 2022-06-27 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-06-03 | 2022-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-11 | 2019-08-23 | 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 | 2019-07-11 | 2019-08-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-11 | 2019-08-23 | N |
