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Deficiency Records for St Bernard Nursing and Rehab
A list of the most recent deficiencies for St Bernard Nursing and Rehab. 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 Bernard Nursing and Rehab. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-05 | 2024-08-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-05 | 2024-07-20 | 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 | 2024-06-05 | 2024-07-20 | 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 | 2024-06-05 | 2024-07-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-05 | 2024-07-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-06-05 | 2024-07-20 | 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 | 2024-06-04 | 2024-07-20 | 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 | 2024-06-04 | 2024-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-04 | 2024-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-04 | 2024-05-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-19 | 2024-01-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-19 | 2024-01-19 | Y |
| Meet other general requirements. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-10-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-14 | 2023-09-27 | 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 | 2023-08-14 | 2023-09-27 | N |
| 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 | 2023-08-14 | 2023-09-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-14 | 2023-09-27 | N |
| Post nurse staffing information every day. | Health | 2023-08-14 | 2023-09-27 | 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 | 2023-08-14 | 2023-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-14 | 2023-09-27 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-08-14 | 2023-09-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-14 | 2023-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-14 | 2023-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-14 | 2023-09-27 | 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 | 2023-08-14 | 2023-09-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-14 | 2023-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-14 | 2023-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-14 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-09-27 | 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 | 2023-08-14 | 2023-09-27 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-14 | 2023-09-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-14 | 2023-09-27 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-14 | 2023-09-27 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-31 | 2023-06-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-14 | 2022-10-14 | 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 | 2022-09-15 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-07 | 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 | 2022-09-14 | 2022-10-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-14 | 2022-10-07 | N |
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