Deficiency Records for Little Sisters of The Poor
Updated as of October 01, 2020
This is not the most recent data for Little Sisters of The Poor. For the most recent information, click here.
A list of the most recent deficiencies for Little Sisters of The Poor. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-07 | 2019-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-07 | 2019-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-07 | 2019-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-02-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-02-07 | 2019-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-07 | 2019-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-07 | 2019-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-02-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-07 | 2019-02-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-07 | 2019-02-08 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-01-30 | 2018-03-02 | 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 | 2018-01-30 | 2018-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-30 | 2018-03-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-01-30 | 2018-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-30 | 2018-03-02 | N |
| Be properly staffed | Fire Safety | 2018-01-30 | 2018-03-02 | 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 | 2018-01-31 | 2018-02-16 | 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 | 2018-01-31 | 2018-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-31 | 2018-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-30 | 2018-02-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-01-30 | 2018-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-30 | 2018-02-01 | N |
