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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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