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Deficiency Records for St Therese of Woodbury LLC
View the most recent health deficiencies and inspection results for St Therese of Woodbury LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Therese of Woodbury LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure proper storage of liquid oxygen. | Fire Safety | 2025-03-20 | 2025-04-24 | 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 | 2025-03-20 | 2025-04-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-03-20 | 2025-04-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-03-20 | 2025-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-20 | 2025-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-20 | 2025-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-20 | 2025-04-22 | N |
| 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 | 2025-03-20 | 2025-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-17 | 2024-10-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-17 | 2024-10-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-17 | 2024-10-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-23 | 2024-06-25 | 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 | 2024-05-23 | 2024-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-23 | 2024-06-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-05-23 | 2024-06-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-23 | 2024-06-25 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-05-23 | 2024-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-23 | 2024-06-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-05-23 | 2024-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-11-13 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-07-27 | 2023-09-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-27 | 2023-09-21 | N |
| 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 | 2023-07-27 | 2023-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-09-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-27 | 2023-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-27 | 2023-09-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-27 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-27 | 2023-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-10 | 2023-08-30 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-27 | 2023-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-27 | 2023-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-27 | 2023-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-13 | 2023-08-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-13 | 2023-08-01 | Y |