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Deficiency Records for Mount St Rita Health Centre

A list of the most recent deficiencies for Mount St Rita Health Centre. 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 Mount St Rita Health Centre. 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?
Ensure that residents are free from significant medication errors. Health 2024-05-21 2024-06-05 Y
Keep residents' personal and medical records private and confidential. Health 2023-10-25 2023-11-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-10-25 2023-11-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-25 2023-11-24 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 2023-10-25 2023-11-24 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-25 2023-11-24 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-10-25 2023-11-24 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-10-25 2023-11-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-25 2023-11-24 N
Provide and implement an infection prevention and control program. Health 2023-10-25 2023-11-24 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-10-25 2023-11-24 N
Ensure that residents are free from significant medication errors. Health 2023-10-25 2023-11-24 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-24 2023-11-24 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-10-24 2023-11-24 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2023-10-24 2023-11-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-24 2023-11-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-24 2023-11-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-24 2023-11-24 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2023-09-14 2023-10-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-14 2023-10-14 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-09-06 2023-10-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-09 2023-09-05 Y
Ensure that residents are free from significant medication errors. Health 2023-06-12 2023-06-23 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-01-18 2023-02-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-28 2022-08-26 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-07-14 2022-08-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-14 2022-08-19 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-07-14 2022-08-19 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-07-14 2022-08-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-14 2022-08-19 N
Provide and implement an infection prevention and control program. Health 2022-07-14 2022-08-19 N
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 2022-07-21 2022-08-19 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-21 2022-08-19 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-07-13 2022-08-08 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 2022-07-13 2022-08-08 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-12-28 2022-01-28 Y
Assure the security of all personal funds of residents deposited with the facility. Health 2021-05-06 2021-05-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-05-06 2021-05-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-06 2021-05-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-06 2021-05-26 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-05-06 2021-05-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2021-05-06 2021-05-26 N

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