Deficiency Records for Staunton Post Acute and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Staunton Post Acute 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-07-17 | 2023-08-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-17 | 2023-08-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-17 | 2023-08-16 | 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 | 2023-06-14 | 2023-07-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-14 | 2023-07-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-14 | 2023-07-28 | 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 | 2023-06-14 | 2023-07-28 | 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 | 2023-06-14 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-07-28 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-14 | 2023-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-28 | N |
| Keep all essential equipment working safely. | Health | 2023-06-14 | 2023-07-28 | 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 | 2023-06-14 | 2023-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2022-11-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-09 | 2022-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-09 | 2022-07-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-09 | 2022-07-19 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-09 | 2022-07-19 | 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 | 2022-06-09 | 2022-07-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-06-09 | 2022-07-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-09 | 2021-11-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-13 | 2021-08-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-11 | 2020-08-11 | 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 | 2020-02-11 | 2020-03-19 | 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 | 2020-02-11 | 2020-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-11 | 2020-03-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-11 | 2020-03-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-11 | 2020-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-11 | 2020-03-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-11 | 2020-03-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-11 | 2020-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-11 | 2020-03-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-11 | 2020-03-19 | 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 | 2020-02-11 | 2020-03-19 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-11 | 2020-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-11 | 2020-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-11 | 2020-03-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-25 | 2020-03-10 | N |
