Deficiency Records for Stonecreek Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Stonecreek Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-22 | 2024-01-18 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-22 | 2024-01-18 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-22 | 2024-01-18 | Y |
| 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 | 2023-12-22 | 2024-01-18 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-12-22 | 2024-01-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-22 | 2024-01-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-22 | 2024-01-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-27 | 2022-10-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-07-27 | 2022-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-27 | 2022-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-27 | 2022-10-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-27 | 2022-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-27 | 2022-10-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-29 | 2022-07-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-29 | 2022-07-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-07-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-01 | 2021-10-20 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-12-15 | 2020-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-15 | 2020-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-15 | 2020-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-19 | 2020-12-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-19 | 2020-12-17 | N |
