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Deficiency Records for St Anns Community
A list of the most recent deficiencies for St Anns Community. 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 Anns Community. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-08 | 2024-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-08 | 2024-07-05 | 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 | 2024-05-08 | 2024-07-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-08 | 2024-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-07-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-08 | 2024-07-05 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-05-08 | 2024-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-08 | 2023-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-11-01 | Y |
| 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 | 2022-08-29 | 2022-10-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-29 | 2022-10-21 | 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 | 2022-08-29 | 2022-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-25 | 2020-04-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-25 | 2020-04-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-25 | 2020-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-25 | 2020-04-09 | N |
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