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Deficiency Records for St Clara's Rehab and Senior Care

View the most recent health deficiencies and inspection results for St Clara's Rehab and Senior Care. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for St Clara's Rehab and Senior Care. 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 2025-10-15 2025-10-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-08-23 2025-09-10 Y
Ensure that residents are free from significant medication errors. Health 2025-08-23 2025-09-10 Y
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 2025-02-05 2025-03-24 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 2025-02-05 2025-03-24 N
Provide and implement an infection prevention and control program. Health 2025-02-05 2025-03-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-02-05 2025-02-28 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 2025-02-05 2025-02-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-02-05 2025-02-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-02-05 2025-02-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-02-05 2025-02-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2025-02-05 2025-02-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-02-05 2025-02-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-02-05 2025-02-23 N
Provide enough food/fluids to maintain a resident's health. Health 2025-02-05 2025-02-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-02-05 2025-02-23 N
Have exits that are accessible at all times. Fire Safety 2025-02-05 2025-02-14 N
Conduct testing and exercise requirements. Fire Safety 2024-05-03 2024-06-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-03 2024-05-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-05-03 2024-05-24 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-05-03 2024-05-24 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 2024-05-03 2024-05-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-03 2024-05-21 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 2024-05-03 2024-05-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-03 2024-05-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-03 2024-05-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-05-03 2024-05-21 N
Establish staff and initial training requirements. Fire Safety 2024-05-03 2024-05-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-05-03 2024-05-21 N
Provide properly protected cooking facilities. Fire Safety 2024-05-03 2024-05-18 N
Conduct testing and exercise requirements. Fire Safety 2022-11-17 2023-01-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-17 2022-12-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-17 2022-12-09 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 2022-11-17 2022-12-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-17 2022-12-08 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 2022-11-17 2022-12-08 N
Post nurse staffing information every day. Health 2022-11-17 2022-12-08 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-11-17 2022-12-08 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 2022-11-17 2022-12-08 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2022-11-17 2022-12-08 N

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