Deficiency Records for St Agnes Healthcare and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Agnes Healthcare and Rehab 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-25 | 2023-11-08 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-25 | 2023-11-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-01 | 2023-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-01 | 2023-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-01 | 2023-02-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-01 | 2023-02-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-03 | 2022-04-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-16 | 2022-01-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-16 | 2022-01-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-16 | 2022-01-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-16 | 2022-01-25 | 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 | 2021-12-16 | 2022-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-25 | N |
| Establish methods for sharing information. | Fire Safety | 2021-12-16 | 2022-01-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-16 | 2022-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-16 | 2022-01-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-14 | 2021-05-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-14 | 2021-05-03 | Y |
| 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 | 2020-01-30 | 2020-03-01 | 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 | 2020-01-30 | 2020-03-01 | N |
