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Deficiency Records for Senior Care Center - St Marys
A list of the most recent deficiencies for Senior Care Center - St Marys. 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 Senior Care Center - St Marys. 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 and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-06-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-14 | 2024-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-14 | 2024-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-14 | 2024-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-14 | 2024-04-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-14 | 2024-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-12 | 2024-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-12 | 2024-04-28 | 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 | 2022-06-30 | 2022-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-12 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-06-30 | 2022-08-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-08-12 | 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 | 2019-01-17 | 2019-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-14 | 2019-03-03 | N |
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