Deficiency Records for Ascension Saint Anne Place
Updated as of April 01, 2018
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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-28 | 2018-03-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-23 | 2017-08-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-07-05 | 2017-08-26 | 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 | 2017-07-05 | 2017-08-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-07-05 | 2017-08-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-07-05 | 2017-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-05 | 2017-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-05 | 2017-08-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-05 | 2017-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-07-05 | 2017-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-27 | 2017-06-28 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-09 | 2017-06-23 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-09 | 2017-06-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-09 | 2017-06-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-09 | 2017-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-07 | 2017-03-08 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-29 | 2016-06-10 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-29 | 2016-05-16 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-04-29 | 2016-05-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-27 | 2016-05-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-27 | 2016-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-27 | 2016-05-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-27 | 2016-05-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-27 | 2016-05-10 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-29 | 2016-05-04 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-04-29 | 2016-05-02 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-04-29 | 2016-04-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-10 | 2015-08-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-22 | 2015-07-23 | Y |
| Fire resistant interior walls. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-05-29 | 2015-06-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-05-20 | 2015-05-26 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-05-20 | 2015-05-26 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-05-20 | 2015-05-26 | N |
