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Deficiency Records for Superior Manor of Festus, LLC
A list of the most recent deficiencies for Superior Manor of Festus, 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 Superior Manor of Festus, 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-19 | 2024-07-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-19 | 2024-07-19 | 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 | 2024-04-19 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-07-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-19 | 2024-07-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-19 | 2024-07-19 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-04-19 | 2024-06-03 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-04-19 | 2024-06-03 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-04-19 | 2024-06-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-19 | 2024-06-03 | 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 | 2024-04-19 | 2024-06-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-19 | 2024-06-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-19 | 2024-06-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-04-19 | 2024-06-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-19 | 2024-06-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-19 | 2024-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-19 | 2024-06-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-19 | 2024-06-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-19 | 2024-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-19 | 2024-06-03 | 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 | 2024-04-19 | 2024-06-03 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-19 | 2024-06-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-19 | 2024-06-03 | 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 | 2024-04-19 | 2024-06-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-19 | 2024-06-03 | 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 | 2024-04-19 | 2024-06-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-19 | 2024-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-06-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-04-19 | 2024-06-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-04-19 | 2024-06-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-19 | 2024-06-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-19 | 2024-06-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2024-04-19 | 2024-06-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-19 | 2024-06-03 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-04-19 | 2024-06-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-04-19 | 2024-06-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-04-19 | 2024-06-03 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-04-19 | 2024-06-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-05 | 2024-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-07 | 2024-03-18 | Y |
| 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 | 2024-01-11 | 2024-03-13 | Y |
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