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Deficiency Records for Ark Healthcare and Rehabilitation at St. Camillus
A list of the most recent deficiencies for Ark Healthcare and Rehabilitation at St. Camillus. 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 Ark Healthcare and Rehabilitation at St. Camillus. 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? |
|---|---|---|---|---|
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-07-11 | 2024-08-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-07-11 | 2024-08-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-11 | 2024-08-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-08-22 | 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 | 2024-07-11 | 2024-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-11 | 2024-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-11 | 2024-08-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-11 | 2024-08-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-11 | 2024-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-08-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-11 | 2024-08-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-11 | 2024-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-11 | 2024-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-08-22 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-11 | 2024-08-22 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-11 | 2024-08-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Meet other general requirements. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-02 | 2024-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-07 | 2023-07-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-20 | 2022-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-01-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-20 | 2022-01-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-20 | 2021-12-31 | 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 | 2019-07-11 | 2019-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-11 | 2019-08-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-11 | 2019-08-20 | 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 | 2019-07-11 | 2019-08-20 | 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 | 2019-07-11 | 2019-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-12 | 2019-08-09 | N |
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