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Deficiency Records for Saints Joachim and Anne Nursing and Rehab Center

A list of the most recent deficiencies for Saints Joachim and Anne Nursing 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 Saints Joachim and Anne Nursing 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?
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-04-25 2023-07-24 N
Have proper power supply for life support equipment. Fire Safety 2023-04-25 2023-07-20 N
Address patient/client population and determine types of services needed. Fire Safety 2023-04-25 2023-07-05 N
Address subsistence needs for staff and patients. Fire Safety 2023-04-25 2023-07-05 N
Establish policies and procedures including evacuation. Fire Safety 2023-04-25 2023-07-05 N
Provide family notifications of emergency plan. Fire Safety 2023-04-25 2023-07-05 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-04-25 2023-07-05 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-04-25 2023-07-03 N
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. Fire Safety 2023-04-25 2023-07-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-04-25 2023-07-03 N
Install an approved automatic sprinkler system. Fire Safety 2023-04-25 2023-07-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-04-25 2023-07-03 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-04-25 2023-07-03 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-04-25 2023-07-03 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 2023-04-24 2023-06-28 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-04-25 2023-06-24 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 2023-04-24 2023-06-16 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-04-24 2023-06-16 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 2023-04-24 2023-06-16 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-04-24 2023-06-15 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-04-24 2023-06-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-09-15 2020-10-28 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2020-09-15 2020-10-28 N
Install proper backup exit lighting. Fire Safety 2020-09-15 2020-10-28 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 2020-09-15 2020-10-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-09-15 2020-10-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-09-15 2020-10-28 N
Have proper medical gas storage and administration areas. Fire Safety 2020-09-15 2020-10-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-09-15 2020-09-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-09-14 2018-10-13 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2018-09-14 2018-10-13 N
Develop a communication plan. Fire Safety 2018-09-14 2018-10-04 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2018-09-14 2018-10-04 N
Meet other general requirements that are deficient. Fire Safety 2018-09-14 2018-10-04 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 2018-09-14 2018-10-04 N
Provide properly protected cooking facilities. Fire Safety 2018-09-14 2018-10-04 N
Construct fire resistant interior walls. Fire Safety 2018-09-14 2018-10-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-09-14 2018-10-04 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-09-14 2018-10-04 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2020-09-15 Not Fixed N

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