A list of the most recent deficiencies for Sancta Maria Nursing 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-05 | 2023-02-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-05 | 2023-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-05 | 2023-02-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-05 | 2023-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-05 | 2023-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-05 | 2023-02-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-05 | 2023-02-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-01-05 | 2023-02-10 | 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 | 2023-01-05 | 2023-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-05 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-05 | 2023-02-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-10 | 2021-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-10 | 2021-09-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-08-10 | 2021-09-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-10 | 2021-09-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-10 | 2021-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-10 | 2021-09-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-10 | 2021-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-10 | 2021-09-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-10 | 2021-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-28 | 2020-10-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-28 | 2020-10-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-28 | 2020-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-10-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-28 | 2020-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-10-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-02-28 | 2020-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-10-09 | 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 | 2020-02-28 | 2020-10-09 | N |
