CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St. Margaret's Daughters Home
View the most recent health deficiencies and inspection results for St. Margaret's Daughters Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St. Margaret's Daughters Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-20 | 2025-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-20 | 2025-09-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-20 | 2025-09-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-08-20 | 2025-09-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-20 | 2025-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-20 | 2025-09-29 | 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 | 2025-08-20 | 2025-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-20 | 2025-09-29 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-20 | 2025-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-20 | 2025-09-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-18 | 2025-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-18 | 2025-02-01 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-12-18 | 2025-02-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-18 | 2025-02-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-18 | 2025-02-01 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-28 | 2024-10-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-28 | 2024-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-28 | 2024-10-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-28 | 2024-10-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-28 | 2024-10-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-28 | 2024-10-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-20 | 2024-05-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-12-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-12 | 2023-12-08 | N |
| Post nurse staffing information every day. | Health | 2023-10-12 | 2023-11-26 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-10-12 | 2023-11-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-12 | 2023-11-26 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-12 | 2023-11-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-12 | 2023-11-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-11-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-12 | 2023-11-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-12 | 2023-11-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-12 | 2023-11-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-12 | 2023-11-26 | N |
| Establish methods for sharing information. | Fire Safety | 2023-10-12 | 2023-11-26 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-10-12 | 2023-11-26 | N |