Deficiency Records for Starr Regional Health and Rehabilitation
Updated as of October 01, 2016
This is not the most recent data for Starr Regional Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Starr Regional Health 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? |
|---|---|---|---|---|
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-06 | 2016-07-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-03 | 2016-07-21 | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-03 | 2016-07-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-03 | 2016-07-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-03 | 2016-07-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-03 | 2016-07-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-03 | 2016-07-21 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-06 | 2016-07-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-03 | 2016-07-21 | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-03 | 2016-07-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-03 | 2016-07-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-03 | 2016-07-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-03 | 2016-07-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-03 | 2016-07-21 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-06-06 | 2016-06-22 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-06-06 | 2016-06-22 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-06-06 | 2016-06-16 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-06-06 | 2016-06-16 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-06 | 2016-06-07 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-06 | 2016-06-07 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-17 | 2015-08-01 | N |
| Provide housekeeping and maintenance services. | Health | 2015-06-17 | 2015-08-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-17 | 2015-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-17 | 2015-08-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-06-17 | 2015-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-17 | 2015-08-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-06-17 | 2015-08-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-17 | 2015-08-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-17 | 2015-08-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-06-15 | 2015-08-01 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-06-15 | 2015-08-01 | N |
| A properly installed medical gas master alarm panel. | Fire Safety | 2015-06-15 | 2015-08-01 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-17 | 2015-08-01 | N |
| Provide housekeeping and maintenance services. | Health | 2015-06-17 | 2015-08-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-17 | 2015-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-17 | 2015-08-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-06-17 | 2015-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-17 | 2015-08-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-06-17 | 2015-08-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-17 | 2015-08-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-17 | 2015-08-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-06-15 | 2015-08-01 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-06-15 | 2015-08-01 | N |
| A properly installed medical gas master alarm panel. | Fire Safety | 2015-06-15 | 2015-08-01 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-03-12 | 2014-04-26 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-03-12 | 2014-04-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-03-12 | 2014-04-11 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2014-03-12 | 2014-04-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-03-12 | 2014-04-11 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2014-03-12 | 2014-04-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-03-12 | 2014-04-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-03-12 | 2014-04-03 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-03-12 | 2014-03-28 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-03-12 | 2014-03-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-03-12 | 2014-03-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-03-12 | 2014-03-14 | N |
