Deficiency Records for Ark Healthcare and Rehabilitation at St. Camillus
Updated as of April 01, 2024
A list of the most recent deficiencies for Ark Healthcare and Rehabilitation at St. Camillus. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-07 | 2023-07-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-20 | 2022-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-01-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-20 | 2022-01-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-20 | 2022-01-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-20 | 2021-12-31 | 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 | 2019-07-11 | 2019-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-11 | 2019-08-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-11 | 2019-08-20 | 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 | 2019-07-11 | 2019-08-20 | 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 | 2019-07-11 | 2019-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-12 | 2019-08-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-01 | 2018-08-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-07 | 2018-06-14 | 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 | 2018-05-07 | 2018-06-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-07 | 2018-06-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-07 | 2018-06-14 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-05-07 | 2018-06-14 | 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 | 2018-05-07 | 2018-06-14 | 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 | 2018-05-07 | 2018-06-14 | 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 | 2018-05-07 | 2018-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-07 | 2018-06-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-05-07 | 2018-06-14 | N |
