A list of the most recent deficiencies for St Augustine Home For The Aged. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-01 | 2023-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-01 | 2023-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-01 | 2023-08-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-11 | 2023-08-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-07-11 | 2023-08-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-11 | 2023-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-11 | 2023-08-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-03 | 2022-09-03 | 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 | 2022-08-03 | 2022-09-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-08-03 | 2022-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-01 | 2022-08-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-07-01 | 2022-08-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-01 | 2022-08-13 | 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 | 2022-07-01 | 2022-08-13 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-07-01 | 2022-08-13 | 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 | 2022-01-12 | 2022-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-12 | 2022-02-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-23 | 2021-04-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-23 | 2021-04-22 | Y |
| 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 | 2021-03-23 | 2021-04-22 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-11 | 2019-08-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-11 | 2019-08-10 | 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 | 2019-07-11 | 2019-08-10 | N |
