Deficiency Records for St Andre Health Care Facility
Updated as of June 01, 2020
This is not the most recent data for St Andre Health Care Facility. For the most recent information, click here.
A list of the most recent deficiencies for St Andre Health Care 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? |
|---|---|---|---|---|
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-11-18 | 2020-01-03 | 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 | 2019-11-21 | 2019-12-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-08 | 2019-02-25 | 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 | 2019-01-08 | 2019-02-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-01-08 | 2019-02-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-08 | 2019-02-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-08 | 2019-02-25 | 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 | 2019-01-10 | 2019-02-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-01-10 | 2019-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-01-10 | 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 | 2018-06-13 | 2018-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-01-25 | 2018-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-25 | 2018-02-28 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-23 | 2018-02-26 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2018-01-23 | 2018-02-26 | 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 | 2018-01-23 | 2018-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-23 | 2018-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-23 | 2018-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-23 | 2018-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-23 | 2018-02-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-23 | 2018-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-25 | 2018-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-10 | 2017-05-11 | Y |
