CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St Anthony's Nsg and Rehab Ctr
A list of the most recent deficiencies for St Anthony's Nsg and Rehab Ctr. 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 Anthony's Nsg and Rehab Ctr. 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 | 2024-08-01 | 2024-08-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-08-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-01 | 2024-08-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-11 | 2024-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-05-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-20 | 2024-04-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-03-20 | 2024-04-12 | 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 | 2024-03-21 | 2024-04-04 | 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 | 2024-03-21 | 2024-04-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-21 | 2024-04-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-21 | 2024-04-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-21 | 2024-04-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-21 | 2024-04-04 | 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 | 2024-03-21 | 2024-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-21 | 2024-04-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-27 | 2024-03-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-27 | 2024-03-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-02 | 2024-03-18 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-27 | 2024-03-01 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-01-27 | 2024-02-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-27 | 2024-02-23 | Y |
| 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 | 2024-01-27 | 2024-02-23 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-02 | 2024-02-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-02 | 2024-02-09 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-02 | 2024-02-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-31 | 2024-01-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-31 | 2024-01-02 | Y |
| 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 | 2023-10-31 | 2024-01-02 | Y |
| 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 | 2023-10-31 | 2023-12-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-18 | 2023-11-10 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-03 | 2023-07-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-07-03 | 2023-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-04-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-31 | 2023-04-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-08 | 2023-03-27 | Y |
| 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 | 2023-03-08 | 2023-03-27 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-19 | 2023-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-19 | 2023-01-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-12-19 | 2023-01-18 | 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 | 2022-12-19 | 2023-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-19 | 2023-01-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-16 | 2023-01-13 | 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 | 2022-12-16 | 2023-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-01-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-16 | 2023-01-13 | 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 | 2022-12-16 | 2023-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-18 | 2022-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-18 | 2022-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-18 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-18 | 2022-09-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-18 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-17 | 2022-08-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-17 | 2022-08-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-17 | 2022-08-10 | Y |
| 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 | 2022-07-17 | 2022-08-10 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-07-17 | 2022-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-13 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-04-27 | 2022-05-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-11-14 | 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 | 2021-10-28 | 2021-11-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-28 | 2021-11-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-28 | 2021-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-28 | 2021-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-11-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-28 | 2021-11-12 | N |
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