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Deficiency Records for Catholic Eldercare On Main

View the most recent health deficiencies and inspection results for Catholic Eldercare On Main. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Catholic Eldercare On Main. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have horizontal exits used in accordance with safety requirements. Fire Safety 2025-12-18 2026-02-02 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 2025-12-18 2026-02-02 Y
Reasonably accommodate the needs and preferences of each resident. Health 2025-12-18 2026-02-02 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-18 2026-02-02 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2025-12-18 2026-02-02 N
Provide routine and 24-hour emergency dental care for each resident. Health 2025-12-18 2026-02-02 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 2025-12-18 2026-02-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-12-18 2026-02-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-12-18 2026-02-02 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-12-18 2026-02-02 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 2025-12-18 2026-02-02 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-12-18 2026-02-02 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-12-18 2026-02-02 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2025-12-18 2026-02-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-12-18 2026-02-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-12-18 2026-02-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-10-18 2024-11-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-18 2024-11-07 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 2024-10-18 2024-11-07 N
Address patient/client population and determine types of services needed. Fire Safety 2024-10-18 2024-11-07 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2024-10-18 2024-11-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-18 2024-11-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-18 2024-11-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-18 2024-11-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-18 2024-11-07 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-10-18 2024-11-07 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 2024-10-18 2024-11-07 N
Provide or obtain dental services for each resident. Health 2024-10-18 2024-11-07 N
Provide and implement an infection prevention and control program. Health 2024-10-18 2024-11-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-23 2024-04-08 Y
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 2024-02-23 2024-04-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-23 2024-04-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-23 2024-04-08 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-11-16 2024-01-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-16 2024-01-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-16 2024-01-10 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-11-16 2024-01-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-16 2024-01-10 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 2023-11-16 2024-01-10 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-11-16 2024-01-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-16 2024-01-10 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-11-16 2024-01-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-16 2024-01-10 N
Implement emergency and standby power systems. Fire Safety 2023-11-16 2024-01-10 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-11-16 2024-01-10 N
Provide properly protected cooking facilities. Fire Safety 2023-11-16 2024-01-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-16 2024-01-10 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2023-11-16 2024-01-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-16 2024-01-10 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-11-16 2024-01-10 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-11-16 2024-01-10 N

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