Deficiency Records for The Emeralds at St Paul LLC
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-26 | 2022-08-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-26 | 2022-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-08-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-05 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-01-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-21 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-16 | 2021-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-16 | 2021-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2021-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-09 | 2021-07-01 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-20 | 2021-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-05 | 2020-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-05 | 2020-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-25 | 2020-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-27 | 2020-06-26 | N |
| 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 | 2019-10-31 | 2019-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-31 | 2019-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-12-10 | 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 | 2019-10-31 | 2019-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-30 | 2019-12-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-30 | 2019-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-30 | 2019-12-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-30 | 2019-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-30 | 2019-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-10-19 | 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 | 2018-12-03 | 2019-02-20 | 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 | 2018-12-03 | 2019-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-03 | 2019-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-27 | 2019-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2019-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-27 | 2019-01-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-27 | 2019-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-03 | 2019-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-03 | 2019-01-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-12-03 | 2019-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-03 | 2019-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-03 | 2019-01-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-03 | 2019-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-03 | 2019-01-16 | 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 | 2018-12-03 | 2019-01-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-12-03 | 2019-01-16 | 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 | 2018-12-03 | 2019-01-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-03 | 2019-01-16 | 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 | 2018-12-03 | 2019-01-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-12-03 | 2019-01-16 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-27 | 2019-01-16 | N |
