Deficiency Records for The Gardens at Stevens

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Updated as of April 01, 2024

A list of the most recent deficiencies for The Gardens at Stevens. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-13 2023-06-06 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-03-28 2023-04-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-28 2023-04-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-28 2023-04-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-28 2023-04-25 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-28 2023-04-25 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-15 2023-04-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-15 2023-04-18 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-15 2023-04-18 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-10 2022-04-12 N
Respond appropriately to all alleged violations. Health 2022-03-10 2022-04-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-10 2022-04-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-10 2022-04-12 N
Provide enough food/fluids to maintain a resident's health. Health 2022-03-10 2022-04-12 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 2022-03-10 2022-04-12 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-03-17 2022-04-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-03-17 2022-04-12 N
Meet other general requirements. Fire Safety 2022-03-17 2022-04-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-19 2022-02-08 Y
Install a two-hour-resistant firewall separation. Fire Safety 2020-10-28 2020-11-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-10-28 2020-11-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-10-28 2020-11-27 N
Have power receptacles that are properly grounded. Fire Safety 2020-10-28 2020-11-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-10-28 2020-11-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-10-23 2020-11-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-10-23 2020-11-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-10-23 2020-11-20 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 2020-10-23 2020-11-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-05 Not Fixed Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-08-08 Not Fixed Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-08 Not Fixed 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 2023-08-08 Not Fixed Y