Deficiency Records for Surrey Place St Lukes Hosp Skilled Nursing
Updated as of March 01, 2018
This is not the most recent data for Surrey Place St Lukes Hosp Skilled Nursing. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-11-16 | 2017-12-28 | 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 | 2017-11-16 | 2017-12-28 | N |
| Meet other general requirements. | Fire Safety | 2017-11-16 | 2017-12-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-11-16 | 2017-12-28 | N |
| Let residents choose a personal doctor. | Health | 2017-11-16 | 2017-12-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-16 | 2017-12-28 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2016-11-10 | 2016-12-24 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-10 | 2016-12-24 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-11-10 | 2016-12-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-10 | 2016-12-24 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-10 | 2016-12-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-10 | 2016-12-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-10 | 2016-12-24 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-11-10 | 2016-12-24 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-04-07 | 2016-04-21 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-07 | 2016-04-21 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-07 | 2016-04-21 | Y |
