Deficiency Records for St Luke's Helen G Nassif Transitional Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Luke's Helen G Nassif Transitional Care Center. 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? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-25 | 2024-02-08 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-25 | 2024-02-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-25 | 2024-01-25 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-25 | 2024-01-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-25 | 2024-01-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-25 | 2024-01-25 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-25 | 2024-01-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-01-25 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-18 | 2024-01-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-01-20 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-11-09 | 2022-12-06 | 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 | 2022-11-09 | 2022-11-22 | 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 | 2022-11-10 | 2022-11-21 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-10 | 2022-11-21 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-10 | 2022-11-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-10 | 2022-11-21 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-10 | 2022-11-21 | N |
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 | 2022-11-10 | 2022-11-21 | 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 | 2022-11-10 | 2022-11-21 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-10 | 2021-06-25 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-03 | 2021-06-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-03 | 2021-06-24 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-03 | 2021-06-24 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-06-24 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-10 | 2021-06-24 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-10 | 2021-06-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-10 | 2021-06-10 | N |