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Deficiency Records for Little Sisters of The Poor
View the most recent health deficiencies and inspection results for Little Sisters of The Poor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Little Sisters of The Poor. 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 | 2025-05-01 | 2025-06-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-07 | 2025-05-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-07 | 2025-04-24 | 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 | 2025-03-07 | 2025-04-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-07 | 2025-04-04 | 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 | 2025-03-07 | 2025-04-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-03-07 | 2025-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-07 | 2025-03-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-03-07 | 2025-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-07 | 2025-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-07 | 2025-03-21 | 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 | 2025-03-07 | 2025-03-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-07 | 2025-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-07 | 2025-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-09-23 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-02-08 | 2024-02-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-08 | 2024-02-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-08 | 2024-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-08 | 2024-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | 2024-02-16 | 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 | 2024-02-08 | 2024-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-08 | 2024-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-08 | 2024-02-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-02-08 | 2024-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-08 | 2024-02-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-06 | 2023-03-22 | 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 | 2023-01-06 | 2023-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-06 | 2023-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-06 | 2023-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-06 | 2023-01-20 | N |
| 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 | 2023-01-06 | 2023-01-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-06 | 2023-01-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-06 | 2023-01-20 | 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 | 2023-01-06 | 2023-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-01-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-06 | 2023-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-06 | 2023-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-06 | 2023-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-06 | 2023-01-12 | N |