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Deficiency Records for St Anthony Park Home Inc
A list of the most recent deficiencies for St Anthony Park Home 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 Anthony Park Home 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-07 | 2024-09-17 | 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 | 2024-08-07 | 2024-09-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-07 | 2024-09-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-07 | 2024-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-09-17 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-07 | 2024-09-17 | 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 | 2024-08-07 | 2024-09-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-07 | 2024-09-17 | 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 | 2024-08-07 | 2024-09-17 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-07 | 2024-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-07 | 2024-09-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-07 | 2024-09-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-07 | 2024-09-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-07 | 2024-09-17 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-26 | 2023-11-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-28 | 2023-10-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-28 | 2023-10-24 | 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 | 2023-09-28 | 2023-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-28 | 2023-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-28 | 2023-10-24 | 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 | 2023-09-28 | 2023-10-24 | 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 | 2023-09-28 | 2023-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-26 | 2023-10-24 | N |
| 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 | 2022-07-21 | 2022-08-11 | 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 | 2022-07-21 | 2022-08-11 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-21 | 2022-08-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-10 | 2022-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-09 | 2021-12-06 | Y |
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