Deficiency Records for St. Camillus Post-Acute and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St. Camillus Post-Acute and Rehabilitation 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-04-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-15 | 2022-09-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-12 | 2022-06-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-12 | 2022-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-06-05 | 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 | 2022-05-12 | 2022-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-05-12 | 2022-06-05 | Y |
| 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 | 2022-05-09 | 2022-06-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-09 | 2022-06-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-09 | 2022-06-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-12 | 2021-03-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-02-12 | 2021-03-14 | 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 | 2021-02-12 | 2021-03-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-02-12 | 2021-03-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-12 | 2021-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-12 | 2021-03-14 | 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 | 2021-02-12 | 2021-03-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-11 | 2021-03-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-04 | 2019-08-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-07 | 2019-06-29 | 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 | 2019-06-07 | 2019-06-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-07 | 2019-06-29 | 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 | 2019-06-07 | 2019-06-29 | 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 | 2019-06-07 | 2019-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-07 | 2019-06-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-07 | 2019-06-29 | N |
