Deficiency Records for Our Lady of Prompt Succor Nursing Facility

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Updated as of March 01, 2024

A list of the most recent deficiencies for Our Lady of Prompt Succor Nursing Facility. 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?
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-12-06 2024-01-19 N
Ensure each resident receives an accurate assessment. Health 2023-12-06 2024-01-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-06 2024-01-19 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-12-06 2024-01-19 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-06 2024-01-19 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 2023-12-06 2024-01-19 N
Provide and implement an infection prevention and control program. Health 2023-12-06 2024-01-19 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-31 2023-11-24 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-10-31 2023-11-24 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-12-07 2023-01-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-07 2023-01-06 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-07 2023-01-06 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 2022-12-07 2023-01-06 N