Deficiency Records for Holy Spirit Retirement Home
Updated as of October 01, 2016
This is not the most recent data for Holy Spirit Retirement Home. For the most recent information, click here.
A list of the most recent deficiencies for Holy Spirit Retirement Home. 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? |
---|---|---|---|---|
Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Exits that are accessible at all times. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Exits that are accessible at all times. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-03 | 2016-09-03 | N |
Keep residents' personal and medical records private and confidential. | Health | 2016-07-28 | 2016-08-22 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-28 | 2016-08-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-28 | 2016-08-22 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-28 | 2016-08-22 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-07-28 | 2016-08-22 | N |
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2016-07-28 | 2016-08-22 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-07-28 | 2016-08-22 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-28 | 2016-08-22 | N |
Tell the attending physician the results of x-rays and other tests, in a timely manner. | Health | 2016-07-28 | 2016-08-22 | N |
Keep residents' personal and medical records private and confidential. | Health | 2016-07-28 | 2016-08-22 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-28 | 2016-08-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-28 | 2016-08-22 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-28 | 2016-08-22 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-07-28 | 2016-08-22 | N |
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2016-07-28 | 2016-08-22 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-07-28 | 2016-08-22 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-28 | 2016-08-22 | N |
Tell the attending physician the results of x-rays and other tests, in a timely manner. | Health | 2016-07-28 | 2016-08-22 | N |
Properly protected cooking facilities. | Fire Safety | 2016-08-03 | 2016-08-21 | N |
Properly protected cooking facilities. | Fire Safety | 2016-08-03 | 2016-08-21 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-03 | 2016-08-19 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-03 | 2016-08-19 | N |
Approved construction type or materials. | Fire Safety | 2016-08-03 | 2016-08-17 | N |
Portable fire extinguishers. | Fire Safety | 2016-08-03 | 2016-08-17 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-08-03 | 2016-08-17 | N |
Approved construction type or materials. | Fire Safety | 2016-08-03 | 2016-08-17 | N |
Portable fire extinguishers. | Fire Safety | 2016-08-03 | 2016-08-17 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-08-03 | 2016-08-17 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-28 | 2016-08-12 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-28 | 2016-08-12 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Properly protected cooking facilities. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Properly protected cooking facilities. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-27 | 2015-09-27 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-27 | 2015-09-27 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-27 | 2015-09-22 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-27 | 2015-09-22 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-09-11 | 2014-10-13 | Y |
Store, cook, and serve food in a safe and clean way. | Health | 2014-09-11 | 2014-10-13 | Y |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-06-05 | 2014-06-30 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-06-05 | 2014-06-30 | N |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2014-06-05 | 2014-06-30 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-06-05 | 2014-06-30 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-06-05 | 2014-06-30 | N |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2014-06-05 | 2014-06-30 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-11 | 2014-06-27 | N |