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Deficiency Records for Grove of St Charles
A list of the most recent deficiencies for Grove of St Charles. 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 Grove of St Charles. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-08-25 | 2024-08-26 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-08-25 | 2024-08-26 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-31 | 2024-08-14 | 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 | 2024-07-31 | 2024-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-31 | 2024-08-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-31 | 2024-08-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-31 | 2024-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-31 | 2024-08-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-25 | 2024-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-25 | 2024-08-01 | 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 | 2024-07-25 | 2024-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-25 | 2024-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-25 | 2024-08-01 | 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 | 2024-07-25 | 2024-08-01 | 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 | 2024-07-25 | 2024-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-17 | 2024-03-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-13 | 2023-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-25 | 2023-11-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-28 | 2023-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-13 | 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 | 2023-09-28 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-10-13 | 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 | 2023-09-28 | 2023-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-09-27 | 2023-10-13 | 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 | 2023-09-27 | 2023-10-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-27 | 2023-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-27 | 2023-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-27 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-11 | 2023-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-10-04 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-25 | 2022-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-25 | 2022-09-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-25 | 2022-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-27 | 2022-08-11 | 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 | 2022-07-27 | 2022-08-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-07-27 | 2022-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-08-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-27 | 2022-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-27 | 2022-08-11 | 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 | 2022-07-27 | 2022-08-11 | N |
| Keep all essential equipment working safely. | Health | 2022-07-27 | 2022-08-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-19 | 2022-05-20 | Y |
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