Deficiency Records for Ascension Saint Anne Place
Updated as of November 01, 2022
This is not the most recent data for Ascension Saint Anne Place. For the most recent information, click here.
A list of the most recent deficiencies for Ascension Saint Anne 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-25 | 2022-08-06 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-05-31 | 2022-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-06 | 2022-07-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-22 | 2022-06-30 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-31 | 2022-06-20 | 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 | 2022-05-31 | 2022-06-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-31 | 2022-06-20 | 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 | 2022-05-31 | 2022-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-31 | 2022-06-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-23 | 2022-06-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-12 | 2022-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-05-28 | 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 | 2022-05-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-12 | 2022-05-28 | 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 | 2022-05-28 | 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 | 2022-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-05-28 | N |
| Keep all essential equipment working safely. | Health | 2022-05-12 | 2022-05-28 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-25 | 2021-10-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-13 | 2021-06-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-04-13 | 2021-05-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-13 | 2021-05-12 | 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 | 2021-04-13 | 2021-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-13 | 2021-05-12 | 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 | 2021-03-25 | 2021-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-25 | 2021-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-25 | 2021-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-04-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-04-13 | 2021-04-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-04-13 | 2021-04-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-13 | 2021-04-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Establish methods for sharing information. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-13 | 2021-04-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-01-25 | 2021-02-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-25 | 2021-02-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-07 | 2020-10-19 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-21 | 2019-11-29 | 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 | 2019-08-21 | 2019-09-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| 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 | 2019-08-21 | 2019-09-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-21 | 2019-09-06 | 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 | 2019-08-21 | 2019-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-21 | 2019-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-15 | 2019-08-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-15 | 2019-08-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-15 | 2019-08-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-15 | 2019-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-08-28 | 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 | 2019-08-15 | 2019-08-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-15 | 2019-08-28 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-08-15 | 2019-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-21 | 2019-08-22 | N |
