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Deficiency Records for Vancrest of St Mary's

A list of the most recent deficiencies for Vancrest of St Mary's. 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 Vancrest of St Mary's. 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?
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2023-11-22 2023-12-22 N
Ensure each resident receives an accurate assessment. Health 2023-11-22 2023-12-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-22 2023-12-22 N
Ensure that residents are free from significant medication errors. Health 2023-11-22 2023-12-22 N
Provide and implement an infection prevention and control program. Health 2023-11-22 2023-12-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-20 2023-12-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-20 2023-12-22 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-07-22 2021-08-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-22 2021-08-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-22 2021-08-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-19 2021-08-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-19 2021-08-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-07-19 2021-08-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-19 2021-08-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-04-18 2019-06-07 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 2019-04-18 2019-06-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-18 2019-06-07 N
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 2019-04-18 2019-06-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-04-18 2019-06-07 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 2019-04-18 2019-06-07 N
Provide and implement an infection prevention and control program. Health 2019-04-18 2019-06-07 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-04-18 2019-06-07 N
Have exits that are accessible at all times. Fire Safety 2019-04-15 2019-06-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-15 2019-06-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-04-15 2019-06-07 N

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