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Deficiency Records for St Marys Hospital For Children

A list of the most recent deficiencies for St Marys Hospital For Children. 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 Marys Hospital For Children. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-10 2024-01-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-10 2024-01-05 Y
Respond appropriately to all alleged violations. Health 2023-11-10 2024-01-05 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-10 2024-01-05 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 2023-11-10 2024-01-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-10 2024-01-05 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-11-16 2023-12-15 N
Install an approved automatic sprinkler system. Fire Safety 2023-11-16 2023-12-15 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-11-16 2023-12-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-16 2023-12-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-11-16 2023-12-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-09-09 2021-10-08 N
Install an approved automatic sprinkler system. Fire Safety 2021-09-09 2021-09-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-09-09 2021-09-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-29 2019-04-19 N
Install an approved automatic sprinkler system. Fire Safety 2019-03-29 2019-04-05 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2019-03-29 2019-04-05 N

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