A list of the most recent deficiencies for St Clair Nursing 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-13 | 2023-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-14 | N |
| 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 | 2023-01-13 | 2023-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-13 | 2023-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-28 | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2020-01-10 | 2020-02-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-10 | 2020-02-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-01-10 | 2020-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-26 | 2018-12-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-26 | 2018-12-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-26 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-26 | 2018-12-07 | 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 | 2018-10-26 | 2018-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-26 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-12-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-26 | 2018-12-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-26 | 2018-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-26 | 2018-12-07 | N |
