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Deficiency Records for St Louis Altenheim
A list of the most recent deficiencies for St Louis Altenheim. 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 Louis Altenheim. 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? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-09-12 | 2024-10-26 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-09-11 | 2024-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-11 | 2024-10-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-11 | 2024-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-11 | 2024-10-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-19 | 2023-11-30 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-19 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-30 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-19 | 2023-11-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-19 | 2023-11-30 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-07-28 | 2023-11-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-28 | 2023-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-11-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-07-28 | 2023-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-28 | 2023-11-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-28 | 2023-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-28 | 2023-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-28 | 2023-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-26 | 2023-10-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-28 | 2023-09-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-28 | 2023-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-28 | 2023-09-10 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-09-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-28 | 2023-09-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-28 | 2023-09-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-28 | 2023-09-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-07-28 | 2023-09-10 | 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 | 2023-07-28 | 2023-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-09-10 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-07-28 | 2023-09-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-28 | 2023-09-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-28 | 2023-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-28 | 2023-09-10 | 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 | 2023-07-28 | 2023-08-25 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-07-28 | 2023-08-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-07-28 | 2023-08-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-28 | 2023-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-11 | 2023-05-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-21 | 2020-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-21 | 2020-04-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-21 | 2020-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-04-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-21 | 2020-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-21 | 2020-04-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-21 | 2020-04-03 | 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 | 2020-02-21 | 2020-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-21 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-04-03 | N |
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