A list of the most recent deficiencies for Silverstone Place. 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-01 | 2023-05-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-05-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-09 | 2023-05-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-09 | 2023-05-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-09 | 2023-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-09 | 2023-04-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-09 | 2023-04-24 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-03-09 | 2023-04-24 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-03-09 | 2023-04-24 | 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 | 2023-03-09 | 2023-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-04-24 | 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 | 2023-03-09 | 2023-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-09 | 2023-04-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-09 | 2023-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-24 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-03-09 | 2023-04-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-09 | 2023-04-23 | 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 | 2023-03-09 | 2023-04-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-09 | 2023-04-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-09 | 2023-04-23 | N |
| Post nurse staffing information every day. | Health | 2023-03-09 | 2023-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-09 | 2023-04-15 | 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 | 2023-03-09 | 2023-04-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-09 | 2023-04-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-09 | 2023-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-09 | 2023-03-29 | 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 | 2023-03-09 | 2023-03-25 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-23 | 2022-09-20 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-09-22 | 2020-10-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-09-22 | 2020-10-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-09-22 | 2020-10-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-09-22 | 2020-10-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-09-22 | 2020-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-22 | 2020-10-30 | 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 | 2020-09-22 | 2020-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-22 | 2020-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-22 | 2020-10-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-22 | 2020-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-22 | 2020-10-30 | 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 | 2020-09-22 | 2020-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-09-22 | 2020-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-22 | 2020-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-15 | 2019-04-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-03-15 | 2019-04-10 | 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 | 2019-03-15 | 2019-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-15 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-15 | 2019-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-15 | 2019-04-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-15 | 2019-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-15 | 2019-04-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-15 | 2019-04-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-15 | 2019-04-02 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-15 | 2019-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-15 | 2019-04-02 | 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 | 2019-03-15 | 2019-04-02 | 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 | 2019-03-15 | 2019-04-01 | N |
| Meet other general requirements. | Fire Safety | 2019-03-15 | 2019-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-15 | 2019-04-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-03-15 | 2019-04-01 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-07-15 | Not Fixed | Y |
