Deficiency Records for Stillwater Post-Acute
Updated as of May 01, 2021
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-14 | 2021-02-16 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-01-05 | 2021-02-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-30 | 2020-10-19 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2020-08-18 | 2020-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-08-18 | 2020-09-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-08-04 | 2020-09-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-08-04 | 2020-09-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-07 | 2020-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-26 | 2020-06-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-26 | 2020-04-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-03-26 | 2020-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-26 | 2020-04-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-24 | 2020-04-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-03-24 | 2020-04-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-03-23 | 2020-04-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-23 | 2020-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-04 | 2020-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-03 | 2020-01-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-23 | 2020-01-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-23 | 2020-01-22 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-01-02 | 2020-01-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-08 | 2019-11-26 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-10-16 | 2019-10-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-16 | 2019-10-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-16 | 2019-10-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-16 | 2019-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-23 | 2019-10-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-25 | 2019-07-25 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-02-05 | 2019-06-18 | 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 | 2019-02-05 | 2019-06-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-02-05 | 2019-06-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-05 | 2019-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-05 | 2019-06-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-05 | 2019-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-05 | 2019-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-05 | 2019-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-05 | 2019-06-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-05 | 2019-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-21 | 2019-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-26 | 2019-04-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-15 | 2019-04-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-05 | 2019-03-28 | 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 | 2019-02-05 | 2019-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-05 | 2019-03-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-05 | 2019-03-28 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-05 | 2019-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-05 | 2019-03-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-05 | 2019-03-28 | 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 | 2019-02-05 | 2019-03-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-05 | 2019-03-28 | 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 | 2019-02-05 | 2019-03-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-02-05 | 2019-03-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-05 | 2019-03-28 | N |
| 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 |
| 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 | 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 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 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-07 | N |
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| 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 |
