Deficiency Records for Saint Anne Extended Healthcare
Updated as of June 01, 2021
This is not the most recent data for Saint Anne Extended Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Saint Anne Extended Healthcare. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-05 | 2020-11-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-20 | 2019-11-25 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-20 | 2019-11-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-07 | 2019-11-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-07 | 2019-11-25 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-09-17 | 2019-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-17 | 2019-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-17 | 2019-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-17 | 2019-10-31 | 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 | 2019-09-20 | 2019-10-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-09-20 | 2019-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-20 | 2019-10-31 | 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 | 2019-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-20 | 2019-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-20 | 2019-10-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-20 | 2019-10-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-20 | 2019-10-31 | 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 | 2019-09-20 | 2019-10-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-09-20 | 2019-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-20 | 2019-10-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-15 | 2019-04-19 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-26 | 2018-09-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-26 | 2018-09-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-07-26 | 2018-09-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-07-26 | 2018-09-04 | 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 | 2018-07-26 | 2018-09-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-07-26 | 2018-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-26 | 2018-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-09-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-07-26 | 2018-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-09-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-07-26 | 2018-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-26 | 2017-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-26 | 2017-06-26 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-05-24 | 2017-06-26 | N |
