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Deficiency Records for St Mary Healthcare Center
View the most recent health deficiencies and inspection results for St Mary Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Mary Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-31 | 2026-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-31 | 2026-04-15 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-22 | 2025-09-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-19 | 2025-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-19 | 2025-06-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-19 | 2025-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-19 | 2025-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-19 | 2025-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-19 | 2025-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-19 | 2025-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-19 | 2025-05-10 | 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 | 2025-05-19 | 2025-04-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-19 | 2025-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-14 | 2024-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-14 | 2024-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-29 | 2024-05-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-29 | 2024-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-29 | 2024-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-29 | 2024-05-31 | 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 | 2024-04-29 | 2024-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-29 | 2024-05-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-29 | 2024-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-29 | 2024-05-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-05 | 2023-09-21 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-03-31 | Not Fixed | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-03-31 | Not Fixed | N |