A list of the most recent deficiencies for Stoneridge Health Care, LLC. 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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-31 | 2024-02-25 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-31 | 2024-02-25 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-31 | 2024-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2023-01-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-07 | 2023-01-19 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-04-11 | 2022-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-11 | 2022-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-11 | 2022-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-11 | 2022-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-13 | 2022-05-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-13 | 2022-05-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-13 | 2022-05-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-13 | 2022-05-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-13 | 2022-05-27 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-13 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-27 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Develop a communication plan. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Establish methods for sharing information. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-11 | 2022-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-28 | 2019-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-28 | 2019-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-28 | 2019-07-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-28 | 2019-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-28 | 2019-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-28 | 2019-07-14 | 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 | 2019-05-30 | 2019-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-30 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-07-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-25 | 2018-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-25 | 2018-06-18 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-25 | 2018-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-06-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-25 | 2018-06-01 | 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 | 2018-04-25 | 2018-06-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-25 | 2018-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-25 | 2018-05-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-25 | 2018-05-24 | N |
