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Deficiency Records for All Saint's Maubert
A list of the most recent deficiencies for All Saint's Maubert. 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 All Saint's Maubert. 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 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 | 2024-02-05 | 2024-03-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-26 | 2023-11-23 | 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 | 2023-10-26 | 2023-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-11-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-26 | 2023-11-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-26 | 2023-11-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-26 | 2023-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-10-26 | 2023-11-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-26 | 2023-11-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-27 | 2023-11-16 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-27 | 2023-11-16 | 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 | 2023-10-27 | 2023-11-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-27 | 2023-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-27 | 2023-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-27 | 2023-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-27 | 2023-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-27 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-13 | 2022-11-15 | N |
| Post nurse staffing information every day. | Health | 2022-10-13 | 2022-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-13 | 2022-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Establish methods for sharing information. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-17 | 2022-11-07 | 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 | 2022-10-17 | 2022-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-24 | 2020-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-24 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-24 | 2020-03-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-06 | 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 | 2020-02-13 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-06 | N |
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