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Deficiency Records for St. Theresa Care Center

A list of the most recent deficiencies for St. Theresa Care 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 St. Theresa Care 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?
Provide and implement an infection prevention and control program. Health 2024-06-30 2024-07-26 Y
Provide and implement an infection prevention and control program. Health 2024-04-09 2024-05-03 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-02-02 2024-02-14 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-01-09 2024-02-14 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-09 2024-02-14 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-09 2024-02-14 Y
Provide and implement an infection prevention and control program. Health 2024-01-09 2024-02-14 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-05-18 2023-06-19 N
Ensure each resident receives an accurate assessment. Health 2023-05-18 2023-06-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-18 2023-06-19 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 2023-05-18 2023-06-19 N
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 2023-05-18 2023-06-19 N
Provide properly protected cooking facilities. Fire Safety 2023-05-17 2023-06-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-17 2023-06-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-17 2023-06-19 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-05-17 2023-06-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-17 2023-06-19 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-05-17 2023-06-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-17 2023-06-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-30 2023-04-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-28 2022-11-09 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-28 2022-11-09 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-30 2022-04-21 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-03-30 2022-04-21 Y
Ensure medication error rates are not 5 percent or greater. Health 2021-11-10 2021-11-18 Y
Provide and implement an infection prevention and control program. Health 2021-11-10 2021-11-18 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-09 2020-03-05 N
Honor the resident's right to manage his or her financial affairs. Health 2020-01-09 2020-03-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-01-09 2020-03-05 N
Ensure each resident receives an accurate assessment. Health 2020-01-09 2020-03-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-09 2020-03-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-01-09 2020-03-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-09 2020-03-05 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2020-01-09 2020-03-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-09 2020-03-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-09 2020-03-05 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 2020-01-09 2020-03-05 N
Provide or obtain dental services for each resident. Health 2020-01-09 2020-03-05 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2020-01-09 2020-03-05 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2020-01-06 2020-03-05 N
Have exits that are accessible at all times. Fire Safety 2020-01-06 2020-03-05 N
Have an alternate power supply for its alarm system. Fire Safety 2020-01-06 2020-03-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-01-06 2020-03-05 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2020-01-06 2020-03-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-01-06 2020-03-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-01-06 2020-03-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-06 2020-03-05 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2020-01-09 2020-02-14 N
Honor the resident's right to manage his or her financial affairs. Health 2018-11-29 2019-01-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-11-29 2019-01-15 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2018-11-29 2019-01-15 N
Ensure each resident receives an accurate assessment. Health 2018-11-29 2019-01-15 N
Ensure medication error rates are not 5 percent or greater. Health 2018-11-29 2019-01-15 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 2018-11-29 2019-01-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2018-11-29 2019-01-15 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2018-11-27 2019-01-15 N
Construct fire resistant interior walls. Fire Safety 2018-11-27 2019-01-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-11-27 2019-01-15 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2018-11-27 2019-01-15 N
Have power receptacles that are properly grounded. Fire Safety 2018-11-27 2019-01-15 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2018-11-27 2019-01-15 N

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