A list of the most recent deficiencies for Sterling Oaks 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-13 | 2022-11-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-13 | 2022-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2022-10-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-13 | 2022-10-27 | 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 | 2022-10-13 | 2022-10-27 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-13 | 2022-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-13 | 2022-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-11 | 2022-10-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-11 | 2022-10-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-19 | 2022-01-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-19 | 2022-01-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-06 | 2021-09-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-06 | 2021-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-06 | 2021-09-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-06 | 2021-09-03 | 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 | 2021-08-06 | 2021-09-03 | 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 | 2021-08-06 | 2021-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2020-01-15 | 2020-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-01-27 | 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 | 2020-01-16 | 2020-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-01-24 | 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 | 2020-01-16 | 2020-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-01-24 | N |
| Dispose of garbage and refuse properly. | Health | 2020-01-16 | 2020-01-24 | N |
