Deficiency Records for Holy Spirit Retirement Home

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Updated as of October 01, 2017

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?
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-04-26 2017-04-26 Y
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
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
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
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