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Deficiency Records for St Clare Manor Nursing and Rehabilitation
A list of the most recent deficiencies for St Clare Manor Nursing and Rehabilitation. 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 Clare Manor Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-07-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-09 | 2024-05-28 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-04-03 | 2024-04-17 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-04-03 | 2024-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-03 | 2024-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-02-09 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-02-08 | 2024-02-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-02 | 2023-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-19 | 2023-03-17 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-02 | 2023-03-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-02 | 2023-03-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-02 | 2023-03-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-02 | 2023-03-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-02 | 2023-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-02 | 2023-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-02 | 2023-03-15 | 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 | 2023-02-02 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-30 | 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 | 2021-12-16 | 2022-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-16 | 2022-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-01-30 | Y |
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