A list of the most recent deficiencies for St Peters Post Acute. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-07-21 | Y |
| 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 | 2022-12-08 | 2023-01-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-16 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-03 | 2022-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-13 | 2022-01-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-16 | 2019-09-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-08-16 | 2019-09-18 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-08-16 | 2019-09-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-16 | 2019-09-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-16 | 2019-09-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-16 | 2019-09-18 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-08-16 | 2019-09-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-16 | 2019-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-16 | 2019-09-18 | 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 | 2019-08-16 | 2019-09-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-08-16 | 2019-09-18 | 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 | 2019-08-16 | 2019-09-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-16 | 2019-09-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-07 | 2018-10-19 | 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 | 2018-09-07 | 2018-10-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-10-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-07 | 2018-10-19 | N |
| Use approved construction type or materials. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-07 | 2018-10-19 | 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 | 2018-09-07 | 2018-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
