STONEGATES

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Stonegates. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

Medium Rehabilitation

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Delaware are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/11/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/27/2009 Correction Date: 12/31/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Have Enough Outside Airflow. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/27/2009 Correction Date: 12/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/11/2011 Correction Date: 06/30/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 11/21/2008 Correction Date: 01/31/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/11/2011 Correction Date: 06/30/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 11/21/2008 Correction Date: 01/31/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/27/2009 Correction Date: 12/31/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/27/2009 Correction Date: 12/31/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/21/2008 Correction Date: 01/31/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 10/27/2009 Correction Date: 12/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/27/2009 Correction Date: 12/31/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 10/27/2009 Correction Date: 12/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/11/2011 Correction Date: 06/30/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 10/27/2009 Correction Date: 12/31/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/27/2009 Correction Date: 12/31/2009

The table below lists incident reports by the nursing staff or administration for Stonegates, as well as complaints by residents or their family in the previous three years.

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 11/21/2008 Correction Date: 01/31/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 11/21/2008 Correction Date: 01/31/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Stonegates had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/11/2011.

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/20/2008 Correction Date: 12/05/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 11/20/2008 Correction Date: 12/05/2008