Deficiency Records for St Gertrudes Health and Rehabilitation Center
Updated as of May 01, 2021
This is not the most recent data for St Gertrudes Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for St Gertrudes Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-10-13 | 2020-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-10 | 2020-10-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-10 | 2020-10-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-10 | 2020-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-24 | 2020-09-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-08 | 2019-04-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-08 | 2019-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-08 | 2019-04-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-08 | 2019-04-17 | 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 | 2019-03-08 | 2019-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-08 | 2019-04-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-08 | 2019-04-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-08 | 2019-04-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-03-08 | 2019-04-17 | 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 | 2019-03-08 | 2019-04-17 | 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 | 2019-03-08 | 2019-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-08 | 2019-04-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-12 | 2018-05-11 | 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 | 2018-04-12 | 2018-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-12 | 2018-05-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-04-12 | 2018-05-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-12 | 2018-05-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-09 | 2017-04-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-09 | 2017-04-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-09 | 2017-04-18 | N |
