CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Surrey Place St Lukes Hospital Skilled Nursing
View the most recent health deficiencies and inspection results for Surrey Place St Lukes Hospital Skilled Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Surrey Place St Lukes Hospital Skilled Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2024-09-11 | 2024-10-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-01 | 2024-10-02 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-08-01 | 2024-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-09-06 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-08-01 | 2024-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-09-06 | 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 | 2024-08-01 | 2024-09-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-01 | 2024-09-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-01 | 2024-09-06 | 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 | 2024-08-01 | 2024-09-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-01 | 2024-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-01 | 2024-08-02 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-01 | 2024-07-15 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-21 | 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 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-21 | 2023-01-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-09-30 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-08-22 | 2019-08-22 | 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-01 | Not Fixed | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-01 | Not Fixed | N |