A list of the most recent deficiencies for Stratford Healthcare Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-26 | 2024-01-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-04-01 | 2022-06-24 | 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 | 2022-04-01 | 2022-06-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-01 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-17 | 2022-05-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-29 | 2021-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-29 | 2021-12-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-29 | 2021-12-22 | Y |
| 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 | 2021-11-29 | 2021-12-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-29 | 2021-12-22 | Y |
| 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 | 2019-06-06 | 2019-07-22 | 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 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-31 | 2019-06-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-31 | 2019-06-30 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-05-31 | 2019-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-31 | 2019-06-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-31 | 2019-06-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-31 | 2019-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-31 | 2019-06-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-31 | 2019-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-31 | 2019-06-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-05-31 | 2019-06-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-31 | 2019-06-30 | 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 | 2019-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-31 | 2019-06-30 | 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 | 2019-06-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-05-31 | 2019-06-30 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-05-31 | 2019-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-31 | 2019-06-30 | N |
| Meet other general requirements. | Fire Safety | 2018-05-08 | 2018-06-22 | N |
| 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 | 2018-05-08 | 2018-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-08 | 2018-06-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-08 | 2018-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-08 | 2018-06-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-08 | 2018-06-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-26 | 2018-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-26 | 2018-05-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-04-26 | 2018-05-16 | 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 | 2018-04-26 | 2018-05-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-26 | 2018-05-16 | N |
