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Deficiency Records for Saint Anthony
A list of the most recent deficiencies for Saint Anthony. 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 Saint Anthony. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-17 | 2024-07-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-06-17 | 2024-07-03 | 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 | 2024-06-17 | 2024-07-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-17 | 2024-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-17 | 2024-07-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-20 | 2024-06-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-20 | 2024-06-12 | 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 | 2024-05-20 | 2024-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-20 | 2024-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-20 | 2024-06-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-20 | 2024-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-20 | 2024-06-12 | 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 | 2024-05-20 | 2024-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-12 | 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 | 2024-05-20 | 2024-06-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-20 | 2024-06-12 | 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 | 2024-05-20 | 2024-06-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-20 | 2024-06-12 | 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 | 2024-05-20 | 2024-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-20 | 2024-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-20 | 2024-06-12 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-12-18 | 2023-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-18 | 2023-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2023-12-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-11 | 2023-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-09-01 | Y |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2023-08-11 | 2023-09-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-07-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-16 | 2023-07-07 | Y |
| 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 | 2023-06-16 | 2023-07-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-04-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-13 | 2023-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-03 | 2022-11-14 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-07-19 | 2022-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-19 | 2022-07-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-19 | 2022-07-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-05 | 2022-07-20 | 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 | 2022-07-05 | 2022-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-05 | 2022-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-05 | 2022-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-05 | 2022-07-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-05 | 2022-07-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-05 | 2022-07-20 | 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 | 2022-07-05 | 2022-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-05 | 2022-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-05 | 2022-07-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-05 | 2022-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-05 | 2022-07-20 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-05 | 2022-07-20 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-07-05 | 2022-07-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-03-29 | 2022-04-12 | 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 | 2022-03-29 | 2022-04-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-29 | 2022-04-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-29 | 2022-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-02-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-26 | 2022-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-26 | 2022-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-02-14 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-26 | 2022-02-14 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-26 | 2022-02-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-01 | 2021-10-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-01 | 2021-10-18 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-01 | 2021-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-01 | 2021-10-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-01 | 2021-10-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-01 | 2021-10-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-01 | 2021-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-01 | 2021-10-18 | Y |
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