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Deficiency Records for Gregory Wing of St Andrews Village
View the most recent health deficiencies and inspection results for Gregory Wing of St Andrews Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gregory Wing of St Andrews Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-08-15 | 2025-09-30 | N |
| Dispose of garbage and refuse properly. | Health | 2025-08-15 | 2025-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-15 | 2025-09-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-08-15 | 2025-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-15 | 2025-09-30 | 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 | 2025-08-15 | 2025-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-15 | 2025-09-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-15 | 2025-09-30 | 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 | 2025-08-15 | 2025-09-30 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-08-15 | 2025-09-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-08-15 | 2025-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-15 | 2025-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-15 | 2025-08-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-15 | 2025-08-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-15 | 2024-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-15 | 2024-08-01 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-15 | 2024-06-28 | 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 | 2024-05-15 | 2024-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-15 | 2024-06-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-15 | 2024-06-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-15 | 2024-06-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-15 | 2024-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-15 | 2024-06-21 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-05-15 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-15 | 2024-06-21 | 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 necessary and PRN use is limited. | Health | 2024-05-15 | 2024-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-06-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-15 | 2024-06-21 | 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 | 2024-05-15 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-15 | 2024-06-21 | N |
| 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 | 2024-05-15 | 2024-06-21 | N |
| 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 |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-04 | 2022-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-04 | 2022-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-04 | 2022-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-04 | 2022-05-19 | N |