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Deficiency Records for St Mary Health Care Center
View the most recent health deficiencies and inspection results for St Mary Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Mary Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-29 | 2025-11-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-10-29 | 2025-11-25 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-06-23 | 2025-06-20 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-18 | 2025-03-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-18 | 2025-01-31 | 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 | 2024-12-18 | 2025-01-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-12-18 | 2025-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-18 | 2025-01-21 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-12-18 | 2025-01-20 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-12-18 | 2025-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-18 | 2025-01-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-18 | 2025-01-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-12-18 | 2025-01-20 | N |
| Post nurse staffing information every day. | Health | 2024-12-18 | 2025-01-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-12-18 | 2025-01-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-12-18 | 2025-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-18 | 2025-01-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-12-18 | 2025-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-18 | 2025-01-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-12-18 | 2025-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-17 | 2023-11-30 | N |
| Post nurse staffing information every day. | Health | 2023-10-17 | 2023-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-17 | 2023-11-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-17 | 2023-11-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-17 | 2023-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-17 | 2023-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-17 | 2023-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-17 | 2023-11-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-03 | 2022-03-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-03 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-03 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-03-25 | 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 | 2022-03-03 | 2022-03-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-03 | 2022-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-03 | 2022-03-25 | 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 | 2022-03-03 | 2022-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-03 | 2022-03-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-03 | 2022-03-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-03 | 2022-03-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-03 | 2022-03-25 | N |