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Deficiency Records for Saint Teresa Rehabilitation and Nursing Center
A list of the most recent deficiencies for Saint Teresa Rehabilitation and Nursing Center. 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 Saint Teresa Rehabilitation and Nursing Center. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-28 | 2024-05-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-28 | 2024-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-28 | 2024-05-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-26 | 2024-05-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-26 | 2024-05-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-26 | 2024-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-26 | 2024-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-26 | 2024-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-28 | 2024-04-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-28 | 2024-04-10 | 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 | 2024-03-28 | 2024-04-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-28 | 2024-04-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-08 | 2023-03-31 | 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 | 2023-02-10 | 2023-03-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-10 | 2023-03-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-10 | 2023-03-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-10 | 2023-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-13 | N |
| Report COVID19 data to residents and families. | Health | 2022-09-22 | 2022-10-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-08 | 2022-04-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-08 | 2022-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-08 | 2022-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-04-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-08 | 2022-04-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-09 | 2022-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-09 | 2022-03-31 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2022-03-09 | 2022-03-31 | Y |
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