Deficiency Records for The Health Center at Standifer Place
Updated as of March 01, 2024
A list of the most recent deficiencies for The Health Center at Standifer Place. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-27 | 2023-05-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-09 | 2022-07-24 | 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 | 2022-06-09 | 2022-07-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-09 | 2022-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-31 | 2019-09-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-31 | 2019-09-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-31 | 2019-09-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-31 | 2019-09-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-31 | 2019-09-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-31 | 2019-09-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-07-31 | 2019-09-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-31 | 2019-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-09-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-31 | 2019-09-13 | 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 | 2019-07-31 | 2019-09-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-31 | 2019-09-13 | 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 | 2018-08-01 | 2018-09-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-01 | 2018-09-15 | N |
