Deficiency Records for Ascension Saint Anne Place
Updated as of September 01, 2019
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-26 | 2019-07-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-26 | 2019-07-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-25 | 2019-05-15 | Y |
| 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 | 2019-03-21 | 2019-04-04 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-03-21 | 2019-04-04 | 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 | 2019-03-21 | 2019-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-04-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-21 | 2019-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-26 | 2019-03-01 | Y |
| Keep all essential equipment working safely. | Health | 2018-12-17 | 2018-12-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-01 | 2018-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-19 | 2018-10-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-12 | 2018-08-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-12 | 2018-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Be properly staffed | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-11 | 2018-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-11 | 2018-07-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-11 | 2018-07-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-11 | 2018-07-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-11 | 2018-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-11 | 2018-07-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-07-11 | 2018-07-12 | N |
| 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 |
