Deficiency Records for Stillwater Post-Acute
Updated as of April 01, 2019
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? |
---|---|---|---|---|
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 | 2019-02-20 | 2019-03-07 | Y |
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 | 2019-01-29 | 2019-02-28 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-01-29 | 2019-02-28 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-12-11 | 2019-01-11 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-27 | 2018-08-26 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-13 | 2018-08-12 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-13 | 2018-08-12 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2018-06-13 | 2018-07-12 | Y |
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 |