Deficiency Records for Surrey Place St Lukes Hosp Skilled Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Surrey Place St Lukes Hosp Skilled Nursing. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-28 | 2023-02-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-02-03 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-28 | 2023-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-06-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-09-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-22 | 2019-08-22 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-08-22 | 2019-08-22 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-08-22 | 2019-08-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2018-12-04 | 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 | 2018-10-19 | 2018-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-19 | 2018-12-04 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-10-19 | 2018-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-19 | 2018-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-19 | 2018-12-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-19 | 2018-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-19 | 2018-12-04 | N |
| Meet other general requirements. | Fire Safety | 2018-10-19 | 2018-12-04 | N |
