Deficiency Records for The Emeralds at St Paul LLC
Updated as of July 01, 2018
This is not the most recent data for The Emeralds at St Paul LLC. For the most recent information, click here.
A list of the most recent deficiencies for The Emeralds at St Paul LLC. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-07 | 2018-03-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-02-07 | 2018-03-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-02-08 | 2018-03-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-02-08 | 2018-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-02-08 | 2018-03-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-08 | 2018-03-20 | 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 | 2018-02-08 | 2018-03-20 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-02-08 | 2018-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-08 | 2018-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-08 | 2018-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-08 | 2018-03-20 | 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 | 2018-02-08 | 2018-03-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-08 | 2018-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-08 | 2018-03-20 | 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 | 2018-02-08 | 2018-03-20 | 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 | 2018-02-08 | 2018-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-08 | 2018-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-20 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2018-02-08 | 2018-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-08 | 2018-03-20 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-02-08 | 2018-03-20 | Y |
| Provide or obtain dental services for each resident. | Health | 2018-02-08 | 2018-03-20 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-02-08 | 2018-03-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-07 | 2018-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-07 | 2018-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-07 | 2018-02-14 | N |
| Meet other general requirements. | Fire Safety | 2018-02-07 | 2018-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-07 | 2018-02-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-07 | 2018-02-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-07 | 2018-02-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-07 | 2018-02-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-07 | 2018-02-12 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-01-05 | 2017-01-31 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide residents with private access to a telephone. | Health | 2016-12-22 | 2017-01-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-22 | 2017-01-31 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide housekeeping and maintenance services. | Health | 2016-12-22 | 2017-01-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-22 | 2017-01-31 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-22 | 2017-01-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-12-22 | 2017-01-31 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-12-22 | 2017-01-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-22 | 2017-01-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-22 | 2017-01-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-22 | 2017-01-31 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-23 | 2016-04-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-25 | 2016-03-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-25 | 2016-03-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-25 | 2016-03-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-25 | 2016-03-30 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-02-25 | 2016-03-30 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-25 | 2016-03-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-25 | 2016-03-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-25 | 2016-03-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-25 | 2016-03-30 | N |
