A list of the most recent deficiencies for St Patrick's Manor. 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 | 2023-12-05 | 2024-01-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-05 | 2024-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-05 | 2024-01-11 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-08-25 | 2023-08-28 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-25 | 2023-08-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-25 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-25 | 2023-08-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-25 | 2022-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-02 | 2022-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-02 | 2022-06-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-02 | 2022-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-02 | 2022-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-02 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-02 | 2022-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-04 | 2022-05-16 | N |
| Report COVID19 data to residents and families. | Health | 2022-01-19 | 2022-01-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-09-20 | 2019-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-20 | 2019-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-20 | 2019-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-20 | 2019-11-15 | 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 | 2019-09-20 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-10-18 | N |
