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Deficiency Records for Ssm Health St Mary's Care Center
A list of the most recent deficiencies for Ssm Health St Mary's Care Center. 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 Ssm Health St Mary's Care Center. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-10 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-09-12 | 2024-10-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-27 | 2024-07-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-27 | 2024-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-27 | 2024-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-27 | 2024-07-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-27 | 2024-07-19 | Y |
| Provide appropriate foot care. | Health | 2024-06-27 | 2024-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-07-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-27 | 2024-07-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-30 | 2024-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-02 | 2024-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-02 | 2024-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-05-24 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-02 | 2024-05-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-05-24 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-02 | 2024-05-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-05-02 | 2024-05-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-24 | Y |
| Post nurse staffing information every day. | Health | 2024-05-02 | 2024-05-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-02 | 2024-05-24 | Y |
| 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 | 2024-05-02 | 2024-05-24 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-05-02 | 2024-05-24 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-02 | 2024-05-24 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-30 | 2024-05-24 | 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 | 2024-04-30 | 2024-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-30 | 2024-05-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-04-30 | 2024-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-30 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-30 | 2024-05-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-30 | 2024-05-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-04-30 | 2024-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-10 | 2024-05-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-04-10 | 2024-05-08 | 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 | 2024-04-10 | 2024-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-10 | 2024-05-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-10 | 2024-05-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-10 | 2024-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-02-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-08 | 2024-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-04 | 2023-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2023-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-09 | 2023-11-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-09 | 2023-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-09 | 2023-10-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-07-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-16 | 2023-04-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-16 | 2023-04-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-02-16 | 2023-04-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-27 | 2023-03-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-27 | 2023-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-27 | 2023-03-27 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-27 | 2023-03-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-02-27 | 2023-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-27 | 2023-03-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-27 | 2023-03-27 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-27 | 2023-03-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-27 | 2023-03-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-27 | 2023-03-27 | Y |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2023-02-27 | 2023-03-27 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-02 | 2021-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-02 | 2021-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-02 | 2021-12-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-02 | 2021-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-02 | 2021-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-02 | 2021-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-02 | 2021-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-02 | 2021-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-02 | 2021-11-11 | N |
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