Deficiency Records for Staunton Post Acute and Rehabilitation
Updated as of March 01, 2023
This is not the most recent data for Staunton Post Acute and Rehabilitation. For the most recent information, click here.
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? |
---|---|---|---|---|
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 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-13 | 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 |
Provide and implement an infection prevention and control program. | Health | 2020-06-17 | 2020-07-24 | 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 |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-11-13 | 2019-01-09 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-11-13 | 2019-01-09 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-11-13 | 2019-01-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-25 | 2018-11-27 | 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 | 2018-10-25 | 2018-11-27 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-25 | 2018-11-27 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-25 | 2018-11-27 | 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 | 2018-10-25 | 2018-11-27 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-25 | 2018-11-27 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-25 | 2018-11-27 | 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 | 2018-10-25 | 2018-11-27 | 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 | 2018-10-25 | 2018-11-27 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-11-27 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-25 | 2018-11-27 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-10-25 | 2018-11-27 | N |