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Deficiency Records for The Citadel at Saint Anne Place

View the most recent health deficiencies and inspection results for The Citadel at Saint Anne Place. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Citadel at Saint Anne Place. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-12-16 2025-12-18 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2025-11-25 2025-12-05 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-11-25 2025-12-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-11-25 2025-12-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-11-25 2025-12-05 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-11-25 2025-11-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-07-08 2025-07-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-06-05 2025-07-03 N
Provide and implement an infection prevention and control program. Health 2025-06-05 2025-07-02 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2025-06-05 2025-07-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-05 2025-06-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-06-05 2025-06-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-06-05 2025-06-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-06-05 2025-06-19 N
Use approved construction type or materials. Fire Safety 2025-06-05 2025-06-19 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 2025-06-05 2025-06-19 N
Provide properly protected cooking facilities. Fire Safety 2025-06-05 2025-06-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-06-05 2025-06-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-06-05 2025-06-19 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2025-06-05 2025-06-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-06-05 2025-06-17 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-06-05 2025-06-17 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-06-05 2025-06-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-06-05 2025-06-17 N
Provide enough food/fluids to maintain a resident's health. Health 2025-06-05 2025-06-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-06-05 2025-06-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-04-29 2025-04-30 Y
Conduct testing and exercise requirements. Fire Safety 2024-08-07 2024-09-12 N
Have exits that are accessible at all times. Fire Safety 2024-08-07 2024-09-11 N
Address subsistence needs for staff and patients. Fire Safety 2024-08-07 2024-09-11 N
Establish policies and procedures for sheltering. Fire Safety 2024-08-07 2024-09-11 N
Implement emergency and standby power systems. Fire Safety 2024-08-07 2024-09-11 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-08-07 2024-09-11 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 2024-08-07 2024-09-11 N
Provide properly protected cooking facilities. Fire Safety 2024-08-07 2024-09-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-07 2024-09-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-07 2024-09-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-08-07 2024-09-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-08-07 2024-09-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-08-07 2024-09-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-07 2024-08-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-07 2024-08-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-07 2024-08-14 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-08-07 2024-08-14 N
Provide and implement an infection prevention and control program. Health 2024-08-07 2024-08-14 N
Ensure medication error rates are not 5 percent or greater. Health 2024-08-07 2024-08-08 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 2024-08-07 2024-08-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-17 2024-07-22 Y
Ensure that residents are free from significant medication errors. Health 2024-04-03 2024-04-10 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-03-13 2024-03-21 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-13 2024-03-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-21 2024-02-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-15 2023-11-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-15 2023-11-16 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-13 2023-09-01 N
Conduct testing and exercise requirements. Fire Safety 2023-07-13 2023-08-09 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 2023-07-13 2023-08-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-13 2023-08-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-13 2023-08-07 N
Provide properly protected cooking facilities. Fire Safety 2023-07-13 2023-08-04 N
Use approved construction type or materials. Fire Safety 2023-07-13 2023-08-03 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-07-13 2023-08-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-07-13 2023-08-02 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-07-13 2023-08-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-13 2023-07-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-13 2023-07-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-13 2023-07-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-13 2023-07-28 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 2023-07-13 2023-07-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-13 2023-07-28 N
Provide enough food/fluids to maintain a resident's health. Health 2023-07-13 2023-07-28 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 2023-07-13 2023-07-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-07-13 2023-07-28 N

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