Deficiency Records for St Clare Living Community of Mora
Updated as of September 01, 2023
This is not the most recent data for St Clare Living Community of Mora. For the most recent information, click here.
A list of the most recent deficiencies for St Clare Living Community of Mora. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-16 | 2023-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-05-08 | 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 | 2023-03-16 | 2023-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-16 | 2023-03-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-16 | 2023-03-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-18 | 2022-11-29 | Y |
| 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 | 2022-10-18 | 2022-11-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-21 | 2022-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-21 | 2022-05-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-21 | 2022-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-20 | 2022-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-05-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-02-18 | 2021-03-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-20 | 2020-12-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-11-20 | 2020-12-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-24 | 2019-08-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-24 | 2019-08-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-24 | 2019-08-16 | N |
