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Deficiency Records for St Vincent's - A Prospera Community
A list of the most recent deficiencies for St Vincent's - A Prospera 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 Vincent's - A Prospera 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-04 | 2024-04-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-03-04 | 2024-04-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-04 | 2024-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-29 | 2024-04-08 | 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 | 2024-02-29 | 2024-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-04-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-29 | 2024-04-08 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-29 | 2024-04-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-29 | 2024-04-08 | 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 | 2024-02-29 | 2024-04-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-29 | 2024-04-08 | Y |
| 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 | 2024-02-29 | 2024-04-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-29 | 2024-04-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-02 | 2023-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-07 | 2023-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-07 | 2023-03-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-12-22 | 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 | 2022-11-17 | 2022-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2022-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-22 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-17 | 2022-12-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-11-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-14 | 2021-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-14 | 2021-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-14 | 2021-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-14 | 2021-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-14 | 2021-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-14 | 2021-11-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-14 | 2021-11-18 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-14 | 2021-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-12 | 2021-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-12 | 2021-10-23 | N |
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