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Deficiency Records for Little Sisters of The Poor
View the most recent health deficiencies and inspection results for Little Sisters of The Poor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Little Sisters of The Poor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Develop a communication plan. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-16 | 2025-07-11 | 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 | 2025-05-16 | 2025-07-11 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-16 | 2025-07-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-16 | 2025-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-24 | 2022-09-23 | 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 (including nights and weekends) 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 |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-05 | 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 | 2019-06-05 | 2019-08-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-05 | 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 |