Deficiency Records for Saint Anthony
Updated as of May 01, 2024
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Deficiency Records for Saint Anthony
A list of the most recent deficiencies for Saint Anthony. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Saint Anthony. 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? |
---|---|---|---|---|
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-12-18 | 2023-12-29 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-18 | 2023-12-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2023-12-29 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-11 | 2023-09-01 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-09-01 | Y |
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2023-08-11 | 2023-09-01 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-12 | 2023-08-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-07-07 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-16 | 2023-07-07 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-16 | 2023-07-07 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-07 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-16 | 2023-07-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-04-21 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-13 | 2023-04-21 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-03 | 2022-11-14 | Y |
Have exits that are accessible at all times. | Fire Safety | 2022-07-19 | 2022-07-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-19 | 2022-07-25 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-19 | 2022-07-25 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-05 | 2022-07-20 | 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 | 2022-07-05 | 2022-07-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-05 | 2022-07-20 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-05 | 2022-07-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-05 | 2022-07-20 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-05 | 2022-07-20 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-05 | 2022-07-20 | 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 | 2022-07-05 | 2022-07-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-05 | 2022-07-20 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-05 | 2022-07-20 | N |
Implement a program that monitors antibiotic use. | Health | 2022-07-05 | 2022-07-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-05 | 2022-07-20 | Y |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-05 | 2022-07-20 | Y |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-07-05 | 2022-07-20 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-03-29 | 2022-04-12 | Y |
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 | 2022-03-29 | 2022-04-12 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-29 | 2022-04-12 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-29 | 2022-04-12 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-02-14 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-26 | 2022-02-14 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-26 | 2022-02-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-02-14 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-26 | 2022-02-14 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-26 | 2022-02-14 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-01 | 2021-10-18 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-01 | 2021-10-18 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-01 | 2021-10-18 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-01 | 2021-10-18 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-01 | 2021-10-18 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-01 | 2021-10-18 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-01 | 2021-10-18 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-01 | 2021-10-18 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-18 | 2021-08-04 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-06-18 | 2021-07-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-18 | 2021-07-16 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-18 | 2021-07-16 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-18 | 2021-07-16 | 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 | 2021-06-18 | 2021-07-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-18 | 2021-07-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-18 | 2021-07-16 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-18 | 2021-07-16 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-18 | 2021-07-16 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-18 | 2021-07-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-18 | 2021-07-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-18 | 2021-07-16 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-18 | 2021-07-16 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Develop a communication plan. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Establish emergency prep training and testing. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-22 | 2021-07-15 | N |
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