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Deficiency Records for Sacred Heart Care Center
View the most recent health deficiencies and inspection results for Sacred Heart Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sacred Heart Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-25 | 2025-08-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-25 | 2025-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-25 | 2025-08-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-07-25 | 2025-08-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-07-25 | 2025-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-25 | 2025-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-29 | 2025-05-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-29 | 2025-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-29 | 2025-05-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-02 | 2024-05-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-02 | 2024-05-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-02 | 2024-05-30 | 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 | 2024-05-02 | 2024-05-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-02 | 2024-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-30 | N |
| Post nurse staffing information every day. | Health | 2024-05-02 | 2024-05-30 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-02 | 2024-05-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-02 | 2024-05-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-02 | 2024-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-05-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-02 | 2024-05-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-02 | 2024-05-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-28 | 2024-03-06 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-13 | 2023-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-09-14 | 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 | 2023-07-13 | 2023-09-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-13 | 2023-09-08 | 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 | 2023-07-13 | 2023-09-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-13 | 2023-09-06 | Y |
| 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 | 2023-07-13 | 2023-09-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-07-13 | 2023-09-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-13 | 2023-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-13 | 2023-08-25 | N |