Deficiency Records for Stillwater Post-Acute
Updated as of September 01, 2018
This is not the most recent data for Stillwater Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Stillwater Post-Acute. 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 Emergency Preparedness policies and procedures. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Develop a communication plan. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-28 | 2018-04-02 | 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 | 2018-02-28 | 2018-04-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-02-28 | 2018-04-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-08 | 2018-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-08 | 2018-03-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-02-08 | 2018-03-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-02-08 | 2018-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-08 | 2018-03-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-08 | 2018-03-07 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-12-21 | 2018-01-02 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-10 | 2017-09-01 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-03-28 | 2017-04-10 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-28 | 2017-04-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-05 | 2016-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-05 | 2016-11-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-10-05 | 2016-11-04 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2016-10-05 | 2016-11-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-05 | 2016-11-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-05 | 2016-11-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-05 | 2016-11-04 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2016-10-05 | 2016-11-04 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-10-05 | 2016-11-04 | N |
| Hire sufficient dietary support personnel. | Health | 2016-10-05 | 2016-11-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-05 | 2016-11-04 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-10-05 | 2016-11-04 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-05 | 2016-11-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-05 | 2016-11-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-05 | 2016-11-04 | Y |
| Approved construction type or materials. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-10-13 | 2016-11-02 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-06 | 2016-04-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-10-01 | 2015-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-10-01 | 2015-11-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-01 | 2015-11-01 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-10-01 | 2015-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-01 | 2015-11-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-10-01 | 2015-11-01 | N |
| Hire sufficient dietary support personnel. | Health | 2015-10-01 | 2015-11-01 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-10-01 | 2015-11-01 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-10-01 | 2015-11-01 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-10-01 | 2015-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-10-01 | 2015-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-01 | 2015-11-01 | N |
| Approved construction type or materials. | Fire Safety | 2015-10-08 | 2015-10-27 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-10-08 | 2015-10-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-08 | 2015-10-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-08 | 2015-10-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-08 | 2015-10-27 | N |
