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Deficiency Records for Ssm Health St Clare Meadows Care Ctr
A list of the most recent deficiencies for Ssm Health St Clare Meadows Care Ctr. 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 Clare Meadows Care Ctr. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-09 | 2024-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-27 | 2023-03-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-27 | 2023-03-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-27 | 2023-03-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-27 | 2023-03-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-27 | 2023-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-27 | 2023-03-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-27 | 2023-03-13 | 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 | 2023-02-17 | 2023-03-07 | 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 | 2023-02-17 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-17 | 2023-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-17 | 2023-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-17 | 2023-02-28 | 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 | 2023-02-17 | 2023-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-17 | 2023-02-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-04 | 2021-12-31 | N |
| 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 | 2021-11-04 | 2021-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-31 | 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 | 2021-11-03 | 2021-12-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-03 | 2021-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-03 | 2021-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-03 | 2021-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-03 | 2021-12-31 | N |
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