Deficiency Records for Stillwater Post-Acute
Updated as of February 01, 2022
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? |
---|---|---|---|---|
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-16 | 2022-01-15 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-02 | 2022-01-01 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-17 | 2021-12-16 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-17 | 2021-12-16 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-27 | 2021-11-26 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-26 | 2021-11-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-11-24 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-01 | 2021-10-14 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-31 | 2021-09-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-04 | N |
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 |
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 |