Deficiency Records for Ascension Living St. Catherine Laboure' Place
Updated as of April 01, 2024
A list of the most recent deficiencies for Ascension Living St. Catherine Laboure' Place. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-16 | 2024-02-23 | 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 | 2023-11-16 | 2024-02-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2024-01-17 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2024-01-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-16 | 2024-01-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-16 | 2024-01-12 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-16 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2024-01-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-16 | 2024-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2024-01-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-16 | 2023-12-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-12 | 2023-10-27 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-04 | 2023-02-18 | Y |
| 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 | 2022-12-14 | 2023-01-11 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-12-14 | 2023-01-11 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-28 | 2022-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-27 | 2022-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-27 | 2022-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-27 | 2022-03-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-01-27 | 2022-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-27 | 2022-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-27 | 2022-03-23 | 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 | 2022-01-27 | 2022-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-03-23 | Y |
| 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 | 2021-08-17 | 2021-09-16 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-08-17 | 2021-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-28 | 2021-05-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-07 | 2020-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-07 | 2020-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-07 | 2020-03-07 | N |
| Post nurse staffing information every day. | Health | 2020-02-07 | 2020-03-07 | 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 | 2020-02-07 | 2020-03-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-30 | 2020-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-30 | 2020-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-03-02 | N |
