Deficiency Records for St Therese Home
Updated as of March 01, 2022
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? |
---|---|---|---|---|
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-30 | 2021-11-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-11 | 2021-04-12 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-01-20 | 2021-02-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-12-29 | 2021-02-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-11 | 2020-10-30 | Y |
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 | 2020-02-13 | 2020-06-12 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-02-13 | 2020-06-12 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-13 | 2020-06-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-06-12 | 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 | 2020-02-13 | 2020-06-12 | 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 | 2020-02-13 | 2020-06-12 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-06-12 | N |
Have exits that are accessible at all times. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Meet other general requirements that are deficient. | Fire Safety | 2020-02-11 | 2020-03-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-11 | 2020-03-24 | 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 treatment and care according to orders, resident?s preferences and goals. | 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 |
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 |