Deficiency Records for Stillwater Skilled Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Stillwater Skilled Nursing 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-22 | 2023-09-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-22 | 2023-09-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-24 | 2023-04-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-24 | 2023-04-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-24 | 2023-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-24 | 2023-04-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-24 | 2023-04-26 | 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 | 2023-03-24 | 2023-04-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-24 | 2023-04-26 | 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 | 2023-03-24 | 2023-04-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-24 | 2023-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-24 | 2023-04-26 | Y |
| 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 | 2023-03-24 | 2023-04-26 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-03 | 2019-11-29 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-10-03 | 2019-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-02 | 2019-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-11-29 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-10-02 | 2019-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-02 | 2019-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-02 | 2019-11-29 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-08-30 | 2018-09-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-30 | 2018-09-28 | 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 | 2018-08-30 | 2018-09-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-08-30 | 2018-09-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-30 | 2018-09-28 | 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 | 2018-08-30 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-09-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-30 | 2018-09-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-28 | 2018-09-28 | 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 | 2018-08-28 | 2018-09-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
