A list of the most recent deficiencies for Ascension Saint Benedict. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-05-17 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-11 | 2023-05-08 | 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 | 2023-04-11 | 2023-05-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-11 | 2023-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-11 | 2023-05-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-11 | 2023-05-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-11 | 2023-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-11 | 2023-04-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-11 | 2023-04-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-04-11 | 2023-04-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-08 | 2023-03-29 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-03 | 2021-04-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-05 | 2021-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-05 | 2021-04-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-05 | 2021-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-05 | 2021-04-07 | 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 | 2021-03-05 | 2021-04-07 | 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 | 2021-03-05 | 2021-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-05 | 2021-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-04-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-05 | 2021-04-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-03 | 2021-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-23 | 2019-06-25 | 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 | 2019-05-23 | 2019-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-05-21 | 2019-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-21 | 2019-06-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-05-21 | 2019-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-21 | 2019-06-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-21 | 2019-06-07 | N |
