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Deficiency Records for Saint Simeons Episcopal Home
A list of the most recent deficiencies for Saint Simeons Episcopal Home. 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 Saint Simeons Episcopal Home. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-05-22 | 2024-06-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-23 | 2024-05-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-23 | 2024-05-31 | 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 | 2024-04-23 | 2024-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-23 | 2024-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-23 | 2024-05-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-18 | 2022-09-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-18 | 2022-09-18 | 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 | 2022-08-18 | 2022-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-18 | 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 | 2022-08-16 | 2022-09-18 | 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 | 2022-08-16 | 2022-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-16 | 2022-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-29 | 2022-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-29 | 2022-05-31 | Y |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2019-06-25 | 2019-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-26 | 2019-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-25 | 2019-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-25 | 2019-09-15 | 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 | 2019-06-25 | 2019-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-25 | 2019-08-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-06-26 | 2019-07-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-06-26 | 2019-07-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-26 | 2019-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-26 | 2019-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-07-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-25 | 2019-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-25 | 2019-07-26 | N |
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