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Deficiency Records for St John Kronstadt Convalescent Center
A list of the most recent deficiencies for St John Kronstadt Convalescent 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 John Kronstadt Convalescent 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-07 | 2024-07-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-07 | 2024-07-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-07 | 2024-07-04 | 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 | 2024-06-07 | 2024-07-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-06-07 | 2024-07-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-10 | 2024-06-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-02-17 | 2023-05-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-17 | 2023-05-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-17 | 2023-05-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-17 | 2023-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-17 | 2023-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-17 | 2023-03-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-17 | 2023-03-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-17 | 2023-03-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-17 | 2023-03-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-17 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-17 | 2023-03-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-17 | 2023-03-24 | N |
| Keep all essential equipment working safely. | Health | 2023-02-17 | 2023-03-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-02-17 | 2023-03-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-02-23 | 2023-03-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-29 | 2020-02-14 | 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 | 2020-01-29 | 2020-02-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-05 | 2020-01-08 | N |
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