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Deficiency Records for St. Mary's Nursing Center Inc
A list of the most recent deficiencies for St. Mary's Nursing Center Inc. 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. Mary's Nursing Center Inc. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-26 | 2024-08-09 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-07-26 | 2024-08-09 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-07-26 | 2024-08-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-26 | 2024-08-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-26 | 2024-08-09 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-27 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-27 | 2019-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-27 | 2019-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-27 | 2019-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-27 | 2019-10-10 | N |
| 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 | 2019-08-20 | 2019-10-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-20 | 2019-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-20 | 2019-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-20 | 2019-10-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-13 | 2018-09-13 | 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 | 2018-06-13 | 2018-07-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-06 | 2018-07-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-06 | 2018-07-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-17 | 2017-04-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-17 | 2017-04-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-17 | 2017-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-02-16 | 2017-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-16 | 2017-03-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-02-16 | 2017-03-31 | N |
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