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Deficiency Records for Acadia St Landry Nursing and Rehabilitation Center
A list of the most recent deficiencies for Acadia St Landry Nursing and Rehabilitation Center. 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 Acadia St Landry Nursing and Rehabilitation Center. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-29 | 2024-06-13 | Y |
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 | 2024-05-29 | 2024-06-13 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-01-11 | 2024-02-09 | N |
Keep residents' personal and medical records private and confidential. | Health | 2024-01-11 | 2024-02-09 | 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 | 2024-01-11 | 2024-02-09 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-11 | 2024-02-09 | N |
Ensure a qualified health professional conducts resident assessments. | Health | 2024-01-11 | 2024-02-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-11 | 2024-02-09 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-11 | 2024-02-09 | 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 | 2024-01-11 | 2024-02-09 | 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 | 2024-01-11 | 2024-02-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-02-09 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-01-11 | 2024-02-09 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2024-01-11 | 2024-02-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-07 | 2023-11-08 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-07 | 2023-11-08 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-29 | 2023-09-12 | 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 | 2023-08-29 | 2023-09-12 | Y |
Post nurse staffing information every day. | Health | 2023-08-29 | 2023-09-12 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-06 | 2023-06-07 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-13 | 2023-01-30 | 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 | 2022-12-15 | 2022-12-16 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-12-15 | 2022-12-16 | N |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-12-15 | 2022-12-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2022-12-16 | 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 | 2022-12-15 | 2022-12-16 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-15 | 2022-12-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2022-12-16 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-15 | 2022-12-16 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-15 | 2022-12-16 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-03 | 2021-12-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-04 | 2021-12-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-04 | 2021-12-10 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-11-04 | 2021-12-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-04 | 2021-12-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-12-10 | 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 | 2021-11-04 | 2021-12-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-04 | 2021-12-10 | 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 | 2021-11-04 | 2021-12-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-04 | 2021-12-10 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-10 | N |
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