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Deficiency Records for St Anthony Healthcare and Rehab Center

A list of the most recent deficiencies for St Anthony Healthcare and Rehab 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 St Anthony Healthcare and Rehab 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?
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-07-26 2024-08-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-26 2024-08-22 N
Provide activities to meet all resident's needs. Health 2024-07-26 2024-08-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-26 2024-08-22 N
Post nurse staffing information every day. Health 2024-07-26 2024-08-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-26 2024-08-22 N
Provide and implement an infection prevention and control program. Health 2024-07-26 2024-08-22 N
Keep all essential equipment working safely. Health 2024-07-26 2024-08-22 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-26 2024-08-22 N
Address patient/client population and determine types of services needed. Fire Safety 2024-07-30 2024-08-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-30 2024-08-22 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-07-30 2024-08-22 N
Establish staff and initial training requirements. Fire Safety 2024-07-26 2024-08-22 N
Conduct testing and exercise requirements. Fire Safety 2024-07-26 2024-08-22 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-06-15 2023-08-08 N
Give residents a notice of rights, rules, services and charges. Health 2023-06-15 2023-08-08 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-06-15 2023-08-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-15 2023-08-08 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 2023-06-15 2023-08-08 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-15 2023-08-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-15 2023-08-08 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 2023-06-15 2023-08-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-15 2023-08-08 N
Dispose of garbage and refuse properly. Health 2023-06-15 2023-08-08 N
Keep all essential equipment working safely. Health 2023-06-15 2023-08-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-06-15 2023-08-08 N
Address patient/client population and determine types of services needed. Fire Safety 2023-06-15 2023-08-08 N
Provide family notifications of emergency plan. Fire Safety 2023-06-15 2023-08-08 N
Establish emergency prep training and testing. Fire Safety 2023-06-15 2023-08-08 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-06-15 2023-08-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-15 2023-08-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-04 2023-02-01 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-01-04 2023-02-01 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-01-04 2023-02-01 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-06-17 2022-07-25 N
Post nurse staffing information every day. Health 2022-06-17 2022-07-25 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 2022-06-17 2022-07-25 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-06-17 2022-07-25 N
Provide properly protected cooking facilities. Fire Safety 2022-06-14 2022-07-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-06-14 2022-07-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-14 2022-07-18 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-06-14 2022-07-18 N
Have power receptacles that are properly grounded. Fire Safety 2022-06-14 2022-07-18 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 2022-02-15 2022-03-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-02-15 2022-03-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-15 2022-03-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-20 2021-12-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-20 2021-12-05 Y
Respond appropriately to all alleged violations. Health 2021-10-20 2021-12-05 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-10-20 2021-12-05 Y
Provide or arrange emergency care by a doctor 24 hours a day. Health 2021-10-20 2021-12-05 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-10-20 2021-12-05 Y
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 2021-10-20 2021-12-05 Y
Post nurse staffing information every day. Health 2021-10-20 2021-12-05 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2021-10-20 2021-12-05 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-10-20 2021-12-05 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 2021-10-20 2021-12-05 Y

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