A list of the most recent deficiencies for Gregory Wing of St Andrews Village. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-04 | 2022-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-04 | 2022-06-03 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-05-04 | 2022-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-06-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-03 | 2022-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-03 | 2022-05-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-03 | 2022-05-19 | 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 | 2020-10-16 | 2021-01-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-16 | 2021-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-16 | 2021-01-06 | 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 | 2020-10-14 | 2020-12-18 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2020-10-14 | 2020-11-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-14 | 2020-11-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-10-14 | 2020-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-14 | 2020-11-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-10-14 | 2020-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-14 | 2020-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-20 | 2019-04-19 | 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 | 2019-03-20 | 2019-04-19 | 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 | 2019-03-20 | 2019-04-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-03-20 | 2019-04-16 | 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 | 2019-03-20 | 2019-04-16 | N |
