A list of the most recent deficiencies for St Marks Living. 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? |
|---|---|---|---|---|
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-19 | 2024-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-19 | 2024-01-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-19 | 2024-01-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-19 | 2024-01-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-19 | 2024-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-19 | 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 | 2023-12-19 | 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 | 2023-12-19 | 2024-01-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-21 | 2024-01-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-12-19 | 2024-01-10 | 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 | 2022-08-25 | 2022-09-02 | Y |
| 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 |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-07-20 | 2022-08-12 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-14 | 2022-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-14 | 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 | 2022-06-14 | 2022-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-14 | 2022-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-14 | 2022-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-14 | 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 | 2022-06-14 | 2022-07-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-14 | 2022-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-14 | 2022-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-14 | 2022-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-10 | 2022-01-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-30 | 2021-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-30 | 2021-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-30 | 2021-11-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-09-30 | 2021-11-15 | 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 | 2021-09-30 | 2021-11-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-28 | 2021-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-28 | 2021-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-28 | 2021-11-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-28 | 2021-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-28 | 2021-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-28 | 2021-11-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-28 | 2021-11-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-03 | 2021-08-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-11 | 2021-04-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-11 | 2021-04-09 | Y |
