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Deficiency Records for The Pearl of St Charles
A list of the most recent deficiencies for The Pearl 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 The Pearl 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-28 | 2024-09-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-09 | 2024-08-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-25 | 2024-04-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-25 | 2024-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-04-30 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-20 | 2024-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-20 | 2024-04-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-20 | 2024-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-20 | 2024-04-09 | 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 | 2024-03-20 | 2024-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-20 | 2024-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-26 | 2024-04-04 | Y |
| 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 | 2024-03-14 | 2024-04-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-14 | 2024-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-04-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-04 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-14 | 2024-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-20 | 2024-04-02 | 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 | 2024-03-14 | 2024-04-01 | 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 | 2024-03-14 | 2024-04-01 | 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 | 2024-04-01 | 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 | 2024-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-20 | 2024-03-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-26 | 2024-03-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-20 | 2024-03-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-20 | 2024-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-26 | 2024-03-11 | 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 | 2024-02-26 | 2024-03-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-01 | 2023-11-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-01 | 2023-11-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-21 | 2023-05-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-21 | 2023-05-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-12 | 2023-05-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-12 | 2023-05-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-12 | 2023-05-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-12 | 2023-05-19 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-12 | 2023-05-19 | Y |
| 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 | 2023-04-21 | 2023-04-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-07 | 2023-02-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-25 | 2023-02-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-25 | 2023-02-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-25 | 2023-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-25 | 2023-02-08 | 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 | 2023-01-25 | 2023-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-25 | 2023-02-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-25 | 2023-02-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-25 | 2023-02-08 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-01-25 | 2023-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-25 | 2023-02-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-05 | 2022-01-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-09 | 2021-10-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-09 | 2021-10-06 | 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 | 2021-09-09 | 2021-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-09 | 2021-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-09 | 2021-10-06 | 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 | 2021-09-09 | 2021-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-09 | 2021-10-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-09 | 2021-10-06 | 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 | 2021-09-09 | 2021-10-06 | 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 | 2021-09-09 | 2021-10-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-09-09 | 2021-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-09 | 2021-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-10-06 | N |
| Keep all essential equipment working safely. | Health | 2021-09-09 | 2021-10-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-15 | 2021-10-06 | 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 | 2021-09-15 | 2021-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-15 | 2021-10-06 | N |
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