Deficiency Records for St Marks Living
Updated as of June 01, 2023
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? |
---|---|---|---|---|
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 |
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 |
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 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-07 | 2020-01-07 | N |
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 |
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 pressure ulcer care and prevent new ulcers from developing. | 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 |
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 | 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 | 2019-10-07 | 2019-11-18 | 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 | 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 that residents are free from significant medication errors. | 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 |
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 |