Deficiency Records for Still Hopes Episcopal Retirement Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Still Hopes Episcopal Retirement Community. 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 that residents are free from significant medication errors. | Health | 2023-02-17 | 2023-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-25 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-03-25 | 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 | 2019-06-06 | 2019-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-31 | 2019-06-27 | 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 | 2019-05-31 | 2019-06-27 | 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 | 2019-05-31 | 2019-06-27 | N |
