Deficiency Records for Stanleytown Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Stanleytown Health and Rehabilitation 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-21 | 2023-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-13 | 2023-06-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-13 | 2023-06-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-13 | 2023-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-13 | 2023-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-06-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-13 | 2023-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-06-20 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-21 | 2023-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-21 | 2023-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-21 | 2023-06-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-21 | 2023-06-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-21 | 2023-06-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-30 | 2022-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-30 | 2022-08-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-30 | 2022-08-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-30 | 2022-08-09 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-22 | 2022-02-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-11-22 | 2022-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-22 | 2022-01-20 | 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 | 2021-11-19 | 2022-01-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-19 | 2022-01-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2022-01-03 | 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 | 2021-11-19 | 2022-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-19 | 2022-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2022-01-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-19 | 2022-01-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2022-01-03 | 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 | 2021-11-19 | 2022-01-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-19 | 2022-01-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2022-01-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-19 | 2022-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2022-01-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-11-19 | 2022-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2022-01-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-29 | 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 | 2019-05-29 | 2019-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-29 | 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 | 2019-05-29 | 2019-07-22 | 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 | 2019-05-16 | 2019-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-16 | 2019-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | 2019-06-20 | 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 | 2019-05-16 | 2019-06-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-16 | 2019-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-16 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-20 | N |
