A list of the most recent deficiencies for Stoney Point Healthcare Center. 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 each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-18 | 2023-09-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-09-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-25 | 2022-08-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-21 | 2022-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-06-22 | 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 | 2022-06-10 | 2022-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-06-13 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-04-07 | 2022-04-18 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-04-07 | 2022-04-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-09 | 2022-04-09 | 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 | 2022-03-09 | 2022-04-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-09 | 2022-04-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-04 | 2022-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-04 | 2022-03-31 | 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 | 2022-03-04 | 2022-03-31 | N |
| 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 | 2022-03-04 | 2022-03-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-03-04 | 2022-03-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-04 | 2022-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-04 | 2022-03-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-04 | 2022-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-04 | 2022-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-04 | 2022-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-04 | 2022-03-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-04 | 2022-03-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-04 | 2022-03-31 | N |
| Post nurse staffing information every day. | Health | 2022-03-04 | 2022-03-31 | 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 | 2022-03-04 | 2022-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-04 | 2022-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-19 | 2022-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-02-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-15 | 2022-02-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-15 | 2022-02-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-13 | 2022-01-31 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-01-13 | 2022-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-04 | 2022-01-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-26 | 2021-12-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-26 | 2021-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-18 | 2021-11-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-18 | 2021-11-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-18 | 2021-11-29 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-10-18 | 2021-11-29 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-18 | 2021-11-29 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-18 | 2021-11-29 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-18 | 2021-11-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-18 | 2021-11-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-18 | 2021-11-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-18 | 2021-11-29 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-10-18 | 2021-11-29 | Y |
| Keep all essential equipment working safely. | Health | 2021-10-18 | 2021-11-29 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-10-18 | 2021-11-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-18 | 2021-11-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-11-26 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-05 | 2021-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-05 | 2021-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-24 | 2021-10-05 | Y |
| 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 | 2021-08-22 | 2021-09-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-22 | 2021-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-15 | 2021-08-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-12 | 2021-08-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-06 | 2021-07-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-02 | 2021-06-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-02 | 2021-06-25 | Y |
| Post nurse staffing information every day. | Health | 2021-06-02 | 2021-06-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-02 | 2021-06-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-06-02 | 2021-06-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-14 | 2021-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-11 | 2021-05-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-08-23 | 2019-09-13 | 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 | 2019-08-23 | 2019-09-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-23 | 2019-09-13 | 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 | 2019-08-23 | 2019-09-13 | N |
| 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 | 2019-08-23 | 2019-09-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-23 | 2019-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-23 | 2019-09-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-23 | 2019-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-23 | 2019-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-23 | 2019-09-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-23 | 2019-09-13 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-08-23 | 2019-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-09-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-23 | 2019-09-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-21 | 2019-09-13 | 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 | 2019-08-21 | 2019-09-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-24 | 2018-09-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-24 | 2018-09-24 | 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 | 2018-08-24 | 2018-09-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-24 | 2018-09-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-24 | 2018-09-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-24 | 2018-09-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-24 | 2018-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-24 | 2018-09-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-24 | 2018-09-24 | 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 | 2018-08-24 | 2018-09-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-24 | 2018-09-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-08-24 | 2018-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-24 | 2018-09-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-24 | 2018-09-24 | 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 | 2018-08-24 | 2018-09-24 | 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 | 2018-08-24 | 2018-09-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-24 | 2018-09-24 | N |
