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Deficiency Records for St Marks Living
View the most recent health deficiencies and inspection results for St Marks Living. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Marks Living. Stay informed about quality of care issues.
| 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 | 2026-03-02 | 2026-05-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-02 | 2026-05-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-02 | 2026-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-02 | 2026-04-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-02 | 2026-04-02 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-03-02 | 2026-04-02 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-03 | 2025-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-03 | 2025-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-03 | 2025-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-03 | 2025-05-09 | 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 | 2025-04-03 | 2025-05-09 | N |
| 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 | 2025-04-03 | 2025-05-09 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-04-03 | 2025-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-03 | 2025-05-09 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-04-03 | 2025-05-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-03 | 2025-05-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-03 | 2025-05-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-03 | 2025-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-03 | 2025-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-03 | 2025-05-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-03 | 2025-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-03 | 2025-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-03 | 2025-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-19 | 2025-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-19 | 2025-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-21 | 2025-03-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-21 | 2025-03-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-21 | 2025-03-28 | 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 | 2025-02-21 | 2025-02-03 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-21 | 2024-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-21 | 2024-01-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-21 | 2024-01-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-21 | 2024-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-21 | 2024-01-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-21 | 2024-01-19 | 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 | 2023-12-21 | 2024-01-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-21 | 2024-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-21 | 2024-01-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-21 | 2024-01-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-12-21 | 2024-01-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-16 | 2022-08-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-16 | 2022-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-16 | 2022-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-16 | 2022-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-16 | 2022-07-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-16 | 2022-07-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-16 | 2022-07-13 | N |
| Provide or obtain dental services for each resident. | Health | 2022-06-16 | 2022-07-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-16 | 2022-07-13 | 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 | 2022-06-16 | 2022-07-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-16 | 2022-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-16 | 2022-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-06-20 | N |