Deficiency Records for The Gardens at Stroud
Updated as of July 01, 2022
This is not the most recent data for The Gardens at Stroud. For the most recent information, click here.
A list of the most recent deficiencies for The Gardens at Stroud. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-01-14 | 2022-04-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-14 | 2022-04-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-04-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-14 | 2022-04-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-14 | 2022-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-03-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-14 | 2022-03-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-01-14 | 2022-03-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-14 | 2022-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-03-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-01-14 | 2022-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-03-16 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-01-14 | 2022-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-21 | 2021-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-21 | 2021-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-21 | 2021-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-21 | 2021-09-15 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-07-21 | 2021-09-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-21 | 2021-09-15 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-03-19 | 2021-05-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-03-19 | 2021-05-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-03-19 | 2021-05-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-03-19 | 2021-05-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-19 | 2021-05-04 | 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 | 2021-03-19 | 2021-05-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-15 | 2021-02-01 | Y |
| Provide appropriate foot care. | Health | 2021-01-15 | 2021-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-01 | 2021-01-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-11-06 | 2021-01-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-11-06 | 2021-01-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-11-06 | 2021-01-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-11-06 | 2021-01-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-04 | 2020-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-08-04 | 2020-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-04 | 2020-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-04 | 2020-09-15 | Y |
| 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 | 2020-08-04 | 2020-09-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-22 | 2020-01-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-22 | 2020-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-22 | 2020-01-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-22 | 2020-01-07 | 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 | 2019-11-22 | 2020-01-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-22 | 2020-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2020-01-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-13 | 2020-01-07 | 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 | 2019-11-13 | 2020-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-13 | 2020-01-07 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-08-06 | 2019-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-06 | 2019-09-11 | Y |
