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Deficiency Records for St Martha Center For Rehabilitation and Healthcare

A list of the most recent deficiencies for St Martha Center For Rehabilitation and Healthcare. 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 Martha Center For Rehabilitation and Healthcare. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-12 2024-02-23 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-01-12 2024-02-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-12 2024-02-23 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-12 2024-02-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-12 2024-02-23 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-01-12 2024-02-23 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 2024-01-24 2024-02-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-24 2024-02-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-24 2024-02-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-24 2024-02-23 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-08-29 2023-10-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-10 2023-04-24 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 2023-03-10 2023-04-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-03-10 2023-04-24 Y
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2023-03-20 2023-04-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-20 2023-04-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-20 2023-04-24 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 2022-03-31 2022-05-23 N
Meet other general requirements. Fire Safety 2022-03-08 2022-04-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-03-08 2022-04-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-08 2022-04-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-27 Not Fixed Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-27 Not Fixed 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 2023-03-10 Not Fixed Y

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