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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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-07 2024-07-16 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 2024-06-07 2024-07-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-07 2024-07-16 N
Ensure medication error rates are not 5 percent or greater. Health 2024-06-07 2024-07-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-07 2024-07-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-07 2024-07-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-07 2024-07-16 Y
Respond appropriately to all alleged violations. Health 2024-06-07 2024-07-16 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-06 2024-07-12 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 2024-06-06 2024-07-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-06 2024-07-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-06-06 2024-07-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-06 2024-07-12 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-06-06 2024-07-12 N
Have proper medical gas storage and administration areas. Fire Safety 2024-06-06 2024-07-12 N
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

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