Deficiency Records for Stonegate Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Stonegate Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-06 | 2023-10-06 | 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 | 2023-09-06 | 2023-10-06 | 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 | 2023-09-06 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-06 | 2023-10-06 | 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 | 2023-08-31 | 2023-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-09-04 | 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 | 2023-08-31 | 2023-09-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-31 | 2023-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-08-21 | Y |
| Post nurse staffing information every day. | Health | 2023-05-26 | 2023-06-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-03 | 2023-02-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2022-12-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-18 | 2022-10-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-18 | 2022-10-19 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-13 | 2022-07-27 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-07-13 | 2022-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-13 | 2022-07-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-13 | 2022-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-07-19 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-14 | 2022-07-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-14 | 2022-07-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-07-14 | 2022-07-15 | 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 | 2022-07-14 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-08 | 2022-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-06 | 2022-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2022-01-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2021-11-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-08-25 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-12 | 2021-08-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-15 | 2021-05-31 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-16 | 2021-05-31 | 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 | 2021-04-16 | 2021-05-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-04-16 | 2021-05-31 | 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 | 2021-04-16 | 2021-05-31 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-04-16 | 2021-05-31 | N |
