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Deficiency Records for St Paul's Towers
A list of the most recent deficiencies for St Paul's Towers. 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 Paul's Towers. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-12 | 2024-10-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-09-12 | 2024-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-12 | 2024-10-07 | N |
| Dispose of garbage and refuse properly. | Health | 2024-09-12 | 2024-10-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-19 | 2024-10-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-18 | 2022-11-07 | N |
| Provide appropriate foot care. | Health | 2022-10-13 | 2022-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-13 | 2022-11-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-13 | 2022-11-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-13 | 2022-11-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-10-13 | 2022-11-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-13 | 2022-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-13 | 2022-11-03 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-05-06 | 2022-06-22 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-19 | 2019-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-19 | 2019-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-19 | 2019-09-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-19 | 2019-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-27 | 2019-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-27 | 2019-07-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-27 | 2019-07-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-27 | 2019-07-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-06-27 | 2019-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-27 | 2019-07-26 | N |
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