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Deficiency Records for St Martin's In The Pines
A list of the most recent deficiencies for St Martin's In The Pines. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for St Martin's In The Pines. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-02-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-10-09 | 2019-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-09 | 2019-11-12 | 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 | 2019-10-03 | 2019-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-09 | 2019-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-09 | 2019-10-21 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-09 | 2019-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-09 | 2019-10-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-04 | 2018-11-08 | 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 | 2018-10-04 | 2018-11-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have enough space near smoke barriers to protect residents. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-04 | 2018-11-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-04 | 2018-11-08 | 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 | 2018-09-26 | 2018-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-26 | 2018-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-31 | 2017-10-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-08-31 | 2017-10-05 | N |
| Have enough space near smoke barriers to protect residents. | Fire Safety | 2017-08-31 | 2017-10-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-31 | 2017-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-31 | 2017-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-31 | 2017-10-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-24 | 2017-09-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-24 | 2017-09-28 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2017-08-24 | 2017-09-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-09-28 | N |
| Dispose of garbage and refuse properly. | Health | 2017-08-24 | 2017-09-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-09-28 | N |
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