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Deficiency Records for St George Rehabilitation
A list of the most recent deficiencies for St George Rehabilitation. 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 George Rehabilitation. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-05-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-21 | 2023-05-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-21 | 2023-05-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-03-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-12 | 2023-03-01 | 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 | 2023-01-12 | 2023-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-03-01 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-01-12 | 2023-03-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-01-12 | 2023-03-01 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-01-11 | 2023-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-11 | 2023-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-11 | 2023-01-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-11 | 2023-01-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-06-27 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-06-01 | 2022-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-27 | Y |
| 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 | 2021-05-20 | 2021-06-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-20 | 2021-06-28 | 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 | 2021-05-20 | 2021-06-28 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-05-20 | 2021-06-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-05-20 | 2021-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-20 | 2021-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-20 | 2021-06-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-20 | 2021-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-20 | 2021-06-28 | 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 | 2021-05-26 | 2021-05-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-26 | 2021-05-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-03 | 2019-05-13 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-04-03 | 2019-05-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-03 | 2019-05-13 | 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 | 2019-04-03 | 2019-05-13 | 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 | 2019-04-03 | 2019-05-13 | N |
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