Inspection Reports for
Stillwater Health Care

F0812: The facility failed to discard expired products in the reach-in and walk-in refrigerators, including milk and juices past their expiration dates, which were available for use and served to residents.

F684: The facility failed to ensure physician-ordered medication parameters were followed, resulting in a resident receiving acetaminophen exceeding the 3000 milligrams per 24-hour limit.

F842: The facility failed to maintain complete and accurate clinical records for a resident's treatment, including missing documentation of blood pressure prior to nitroglycerin ointment application and incomplete treatment administration records.

F684: The facility failed to ensure physician orders were followed for 2 of 5 sampled residents, including incorrect medication dosing and lack of documentation for ordered referrals.

F730: The facility failed to complete annual performance evaluations for 4 of 5 sampled Certified Nursing Assistants employed more than one year.

F732: The facility failed to post nurse staffing information in an area visible to residents and visitors for 3 consecutive days of the survey.

F883: The facility failed to follow its policy in obtaining and documenting pneumococcal vaccination status and providing vaccination if needed for 1 of 5 residents reviewed.

K133: The Long Term Care Facility failed to meet the requirements of NFPA 101 Life Safety Code, 2012 edition chapter 19 section 19.1.3.5 and Chapter 8 section 8.1.2.3 for construction type and supporting construction for health care and/or other building occupancies. The two-hour fire barrier wall between apartments and the nursing home had pipe penetrations without required fire stopping.

K211: The facility failed to ensure aisles, passageways, exit discharges, exit locations, and accesses were continuously maintained free of all obstructions to full use in case of emergency, as required by NFPA 101 Life Safety Code, 2012 edition, Chapter 7. Medical carts and storage of paint and furniture obstructed means of egress in multiple wings.

K223: The facility failed to ensure doors in exit passageways, stairway enclosures, or hazardous areas were self-closing and kept in the closed position unless held open by a compliant release device, per NFPA 101 Life Safety Code, 2012 edition. Doors to janitor closets in multiple wings were held open with magnets not releasing upon fire alarm activation.

K347: The Long Term Care Facility failed to comply with NFPA 101 Life Safety Code regarding smoke detection as required by 19.3.4.1 and NFPA 72, National Fire Alarm and Signal Code, 2010 Edition, Section 17.7.5.6.1. Smoke detection was not observed on both sides of a self-closing door in the Dietician's office.

K353: The facility failed to ensure automatic sprinkler systems were inspected, tested, and maintained in accordance with NFPA 25. Records of system design, maintenance, inspection, and testing were not adequately maintained.

K355: The facility failed to select, install, and maintain Class K fire extinguishers in accordance with NFPA 101 Life Safety Code, 2012 edition, section 19.3.5.12, and NFPA 10. Class K extinguishers were not present in the therapy stove area, and placards were missing near existing extinguishers.

K363: The facility failed to ensure corridor doors protecting corridor openings were compliant with NFPA 101 Life Safety Code, 2012 edition, Section 19.3.6.3. Doors were not properly labeled, and clearance between door bottom and floor covering exceeded limits.

K372: The facility failed to meet NFPA 101 Life Safety Code requirements for smoke barrier construction. Penetrations sealed with non-compliant sealant were observed in the one-hour smoke barrier separating building wings.

K761: The facility failed to maintain a fire door inspection and testing program in accordance with NFPA 80 and NFPA 101 Life Safety Code. Documentation of inspection and testing was not provided, and some doors were not inspected or tested annually.

K918: The facility failed to provide documentation showing trained personnel conducted fire door testing as required by NFPA 101 Life Safety Code. Maintenance Director confirmed lack of documentation during interview.

K919: The facility failed to comply with NFPA 99 Healthcare Facilities Code, 2012 sections 10.5.2.7 and 10.5.3.1, regarding electrical equipment maintenance. Two electric wheelchairs were being charged in the dining room, and a remote shut off device for the generator was not equipped.