Deficiency Records for St Annes Nursing Center, St Annes Residence Inc
Updated as of April 01, 2024
A list of the most recent deficiencies for St Annes Nursing Center, St Annes Residence Inc. 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 | 2023-11-09 | 2024-02-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-11-09 | 2024-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-09 | 2024-01-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-09 | 2024-01-31 | 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 | 2023-11-09 | 2023-12-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-28 | 2022-12-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-28 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-11-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-28 | 2022-11-23 | N |
| Keep all essential equipment working safely. | Health | 2022-10-28 | 2022-11-23 | 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 | 2022-10-28 | 2022-11-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-03-05 | 2020-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-03-04 | 2020-03-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2020-03-13 | N |
