Deficiency Records for St Therese Home
Updated as of June 01, 2020
This is not the most recent data for St Therese Home. For the most recent information, click here.
A list of the most recent deficiencies for St Therese Home. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-05 | 2019-01-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-12-05 | 2019-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-05 | 2019-01-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-06 | 2019-01-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-06 | 2019-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-06 | 2019-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-06 | 2019-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-06 | 2019-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-06 | 2019-01-15 | 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 | 2018-12-06 | 2019-01-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-06 | 2019-01-15 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-06 | 2019-01-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-06 | 2019-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-01 | 2018-05-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-03 | 2017-11-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-05 | 2017-11-14 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-05 | 2017-11-14 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-05 | 2017-11-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-05 | 2017-11-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-11-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-05 | 2017-11-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-01 | 2017-01-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-01 | 2017-01-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-01 | 2017-01-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-01 | 2017-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-01 | 2017-01-10 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-12-01 | 2017-01-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-01 | 2017-01-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-01 | 2017-01-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-01 | 2017-01-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-11-30 | 2016-12-23 | N |
