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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-18 | 2024-02-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-11 | 2024-01-25 | Y |
| 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 | 2023-05-26 | 2023-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-25 | 2023-05-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-24 | 2023-03-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-24 | 2023-02-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-12 | 2022-10-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-10 | 2022-10-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-29 | 2022-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-29 | 2022-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-29 | 2022-07-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-29 | 2022-07-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-29 | 2022-07-18 | N |
| Post nurse staffing information every day. | Health | 2022-06-29 | 2022-07-18 | 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 | 2022-06-29 | 2022-07-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-29 | 2022-07-18 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-06-29 | 2022-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-07-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-29 | 2022-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-07-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-28 | 2022-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-05 | 2022-04-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-25 | 2022-03-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-24 | 2022-03-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-22 | 2022-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-22 | 2022-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-03-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-18 | 2022-03-19 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-03-16 | 2022-03-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-14 | 2022-03-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-10 | 2022-03-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-15 | 2022-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-10 | 2022-02-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-10 | 2022-02-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-10 | 2022-02-04 | Y |
| 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 | 2021-12-29 | 2022-01-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-29 | 2022-01-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-29 | 2022-01-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-29 | 2022-01-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-29 | 2022-01-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-29 | 2022-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-29 | 2022-01-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-29 | 2022-01-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-10 | 2022-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-10 | 2022-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-01-20 | Y |
| 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 |
| Respond appropriately to all alleged violations. | 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 |
| 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 |
| 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 |
| 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 |
