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Deficiency Records for St. Catherine Healthcare
A list of the most recent deficiencies for St. Catherine Healthcare. 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. Catherine Healthcare. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-12 | 2024-12-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-12 | 2024-12-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-12 | 2024-12-31 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-26 | 2024-10-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-26 | 2024-10-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-09-26 | 2024-10-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-26 | 2024-10-22 | 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 | 2024-09-26 | 2024-10-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-09-26 | 2024-10-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-26 | 2024-10-22 | 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 | 2024-09-26 | 2024-10-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-26 | 2024-10-22 | 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 | 2024-09-26 | 2024-10-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-26 | 2024-10-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-26 | 2024-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-26 | 2024-10-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-09-26 | 2024-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-10-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-26 | 2024-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-01 | 2024-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-06-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-05 | 2024-06-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-21 | 2023-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-27 | 2023-01-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-23 | 2023-01-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-07 | 2022-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-07 | 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 | 2021-12-07 | 2022-01-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-07 | 2022-01-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-07 | 2022-01-07 | 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 | 2021-12-07 | 2022-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-07 | 2022-01-07 | N |
| Dispose of garbage and refuse properly. | Health | 2021-12-07 | 2022-01-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-07 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2022-01-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-07 | 2022-01-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-12 | 2019-07-27 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-12 | 2019-07-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-07-12 | 2019-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-07-27 | N |
| Keep all essential equipment working safely. | Health | 2019-07-12 | 2019-07-27 | N |
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