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Deficiency Records for The Emeralds at St Paul LLC
A list of the most recent deficiencies for The Emeralds at St Paul LLC. 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 The Emeralds at St Paul LLC. 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-29 | 2024-08-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-08-19 | Y |
| 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 | 2024-07-19 | 2024-08-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-23 | 2024-06-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-23 | 2024-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-23 | 2024-06-30 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-23 | 2024-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-06-30 | 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 | 2024-05-23 | 2024-06-30 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2024-05-23 | 2024-06-30 | 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 | 2024-05-23 | 2024-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-23 | 2024-06-30 | 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 | 2024-05-23 | 2024-06-30 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-21 | 2024-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-21 | 2024-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-21 | 2024-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-21 | 2024-06-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-27 | 2023-11-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-27 | 2023-06-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-27 | 2023-06-07 | 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 | 2023-04-27 | 2023-06-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-27 | 2023-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-27 | 2023-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-27 | 2023-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-27 | 2023-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-06-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-27 | 2023-06-07 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-27 | 2023-06-07 | 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 | 2023-04-27 | 2023-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-06-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-04-27 | 2023-06-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-27 | 2023-06-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-27 | 2023-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-26 | 2022-08-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-26 | 2022-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-08-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-05 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-01-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-21 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-16 | 2021-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-16 | 2021-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2021-11-30 | N |
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