A list of the most recent deficiencies for Little Sisters of The Poor. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-09-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-06-24 | 2022-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-24 | 2022-09-03 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-06-24 | 2022-09-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-24 | 2022-09-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-03 | 2019-08-17 | 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 | 2019-06-03 | 2019-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-03 | 2019-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-03 | 2019-08-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-05 | 2019-07-13 | 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 | 2019-06-05 | 2019-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-05 | 2019-07-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-03 | 2018-05-12 | N |
