Deficiency Records for St Marks Living
Updated as of January 01, 2022
This is not the most recent data for St Marks Living. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-12-02 | 2020-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-02 | 2020-12-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-03 | 2020-10-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-03 | 2020-10-09 | Y |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2020-09-03 | 2020-10-09 | Y |
| 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 | 2020-09-03 | 2020-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-19 | 2020-09-11 | 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 | 2020-08-19 | 2020-09-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-07 | 2020-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-07 | 2020-01-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-07 | 2020-01-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-07 | 2020-01-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-07 | 2020-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2020-01-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-13 | 2019-12-12 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-07 | 2019-11-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-07 | 2019-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-07 | 2019-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-07 | 2019-11-18 | 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 | 2019-10-07 | 2019-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-07 | 2019-11-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-07 | 2019-11-18 | N |
| 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 | 2019-10-07 | 2019-11-18 | 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 | 2019-10-07 | 2019-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-07 | 2019-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-07 | 2019-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-07 | 2019-11-18 | 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 | 2019-10-07 | 2019-11-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-07 | 2019-11-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-07 | 2019-11-18 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-07 | 2019-11-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-07 | 2019-11-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-07 | 2019-11-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-10-07 | 2019-11-18 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-10-07 | 2019-11-18 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-07 | 2019-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-02 | 2019-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-02 | 2019-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-24 | 2019-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-14 | 2019-09-11 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-08-14 | 2019-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-24 | 2019-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-24 | 2019-08-02 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-06-24 | 2019-08-02 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2019-06-24 | 2019-08-02 | Y |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2019-06-24 | 2019-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-25 | 2019-04-06 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-02-25 | 2019-04-06 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-02-25 | 2019-04-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2019-01-07 | 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 | 2018-11-29 | 2019-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2019-01-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-29 | 2019-01-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-29 | 2019-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-01-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-29 | 2019-01-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-27 | 2019-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2019-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-27 | 2019-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-27 | 2019-01-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-27 | 2019-01-07 | N |
