Deficiency Records for Mount Carmel Senior Living - St Charles, LLC
Updated as of March 01, 2022
This is not the most recent data for Mount Carmel Senior Living - St Charles, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Mount Carmel Senior Living - St Charles, LLC. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-23 | 2020-03-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-23 | 2020-03-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-20 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-11-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-09-20 | 2019-11-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-20 | 2019-11-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-20 | 2019-11-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-20 | 2019-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-27 | 2018-08-21 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-07-27 | 2018-08-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-07-27 | 2018-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-27 | 2018-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-27 | 2018-08-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-27 | 2018-08-21 | 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 | 2018-07-27 | 2018-08-21 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-07-27 | 2018-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-27 | 2018-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-27 | 2018-08-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-27 | 2018-08-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-27 | 2018-08-21 | 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 | 2018-07-27 | 2018-08-21 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-27 | 2018-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-06 | 2017-11-01 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-06 | 2017-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-06 | 2017-11-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-06 | 2017-11-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-06 | 2017-11-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-06 | 2017-11-01 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-10-06 | 2017-11-01 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-06 | 2017-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-06 | 2017-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-06 | 2017-11-01 | N |
| Use approved construction type or materials. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
| Meet other general requirements. | Fire Safety | 2017-10-06 | 2017-11-01 | N |
