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Deficiency Records for St Croix Health Center

A list of the most recent deficiencies for St Croix Health 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 St Croix Health 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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-08-29 2023-11-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-30 2023-09-30 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 2023-08-30 2023-09-30 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-30 2023-09-30 N
Ensure that residents are free from significant medication errors. Health 2023-08-30 2023-09-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-30 2023-09-30 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 2023-08-29 2023-09-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-29 2023-09-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-28 2022-08-26 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-07-28 2022-08-26 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-07-28 2022-08-26 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 2022-07-28 2022-08-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-28 2022-08-26 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-07-28 2022-08-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-28 2022-08-26 Y
Provide and implement an infection prevention and control program. Health 2022-07-28 2022-08-26 Y
Provide properly protected cooking facilities. Fire Safety 2022-07-26 2022-08-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-07-26 2022-08-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-26 2022-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-26 2022-08-26 N
Provide and implement an infection prevention and control program. Health 2021-05-05 2021-06-02 N
Conduct testing and exercise requirements. Fire Safety 2021-05-03 2021-06-02 N
Construct fire resistant interior walls. Fire Safety 2021-05-03 2021-06-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-05-03 2021-06-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-05-03 2021-06-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-05-03 2021-06-02 N

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