Deficiency Records for Little Sisters of The Poor
Updated as of October 01, 2021
This is not the most recent data for Little Sisters of The Poor. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-10 | 2018-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-10 | 2018-11-15 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-03 | 2018-05-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-24 | 2017-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-24 | 2017-03-29 | N |
