A list of the most recent deficiencies for St Anthony 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-26 | 2022-08-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-03 | 2022-01-27 | 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 | 2021-12-03 | 2022-01-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-03 | 2022-01-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-03 | 2022-01-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-03 | 2022-01-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-03 | 2022-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2022-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-27 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-12-03 | 2022-01-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-03 | 2022-01-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-07 | 2021-12-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-02-07 | 2019-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-07 | 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 | 2019-02-07 | 2019-03-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-07 | 2019-03-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-02-07 | 2019-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-07 | 2019-03-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-04-11 | 2018-04-27 | N |
| Develop a communication plan. | Fire Safety | 2018-04-11 | 2018-04-27 | 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 | 2018-04-11 | 2018-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-11 | 2018-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-11 | 2018-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-11 | 2018-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-11 | 2018-04-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-03-08 | 2018-04-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-08 | 2018-04-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-03-08 | 2018-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-08 | 2018-04-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-08 | 2018-04-08 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-03-08 | 2018-04-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-03-08 | 2018-04-08 | N |
