Deficiency Records for Benedictine Living Community of St. Peter
Updated as of March 01, 2024
A list of the most recent deficiencies for Benedictine Living Community of St. Peter. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-20 | 2024-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-20 | 2024-02-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-20 | 2024-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-20 | 2024-02-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-20 | 2024-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-20 | 2024-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-20 | 2024-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-20 | 2024-01-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-20 | 2024-01-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-20 | 2024-01-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-20 | 2023-12-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-20 | 2023-12-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-26 | 2023-03-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-26 | 2023-03-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-26 | 2023-03-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-26 | 2023-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-03-17 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-26 | 2023-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-18 | 2023-02-10 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-01-18 | 2023-02-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-05 | 2023-02-10 | 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 | 2023-01-05 | 2023-02-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-08-12 | 2021-10-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-08-12 | 2021-10-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-08-12 | 2021-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-10-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-11 | 2021-10-15 | 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 | 2021-08-12 | 2021-10-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-12 | 2021-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-11 | 2021-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-11 | 2021-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-11 | 2021-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-11 | 2021-09-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-08-11 | 2021-09-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-08-11 | 2021-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-11 | 2021-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-11 | 2021-08-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-11 | 2021-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-11 | 2021-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-11 | 2021-08-17 | N |
