CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Springs at St. Andrews Village
View the most recent health deficiencies and inspection results for The Springs at St. Andrews Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Springs at St. Andrews Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-03-26 | 2026-04-10 | Y |
| Keep all essential equipment working safely. | Health | 2026-03-26 | 2026-04-10 | Y |
| 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 | 2026-03-26 | 2026-04-10 | Y |
| 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 | 2026-03-26 | 2026-04-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-26 | 2026-04-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-03-26 | 2026-04-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-26 | 2026-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-26 | 2026-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-26 | 2026-04-10 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2026-03-26 | 2026-04-10 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-27 | 2024-10-01 | 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 | 2024-03-27 | 2024-10-01 | N |
| Provide large enough exits. | Fire Safety | 2024-03-27 | 2024-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-27 | 2024-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-27 | 2024-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-03-27 | 2024-06-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-27 | 2024-06-11 | 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 | 2024-03-27 | 2024-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-27 | 2024-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-27 | 2024-05-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-27 | 2024-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-18 | 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 | 2024-03-27 | 2024-04-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-27 | 2024-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-27 | 2024-04-18 | 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 | 2022-12-15 | 2023-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-03-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-15 | 2023-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-15 | 2023-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-15 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-15 | 2023-01-25 | 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 | 2022-12-15 | 2023-01-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-12-15 | 2023-01-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-15 | 2023-01-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-15 | 2023-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-09 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-12-15 | 2023-01-09 | 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 | 2022-12-15 | 2023-01-09 | N |