Deficiency Records for St Peters Post Acute
Updated as of November 01, 2019
This is not the most recent data for St Peters Post Acute. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Be properly staffed | 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 |
| 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 |
| 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 | 2017-09-26 | 2017-11-09 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-07-20 | 2017-09-02 | 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 | 2017-07-20 | 2017-09-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-20 | 2017-09-02 | 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 | 2017-07-20 | 2017-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Meet other general requirements. | Fire Safety | 2017-07-20 | 2017-09-02 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-07-20 | 2017-09-02 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-07-20 | 2017-09-02 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-20 | 2017-09-02 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-07-20 | 2017-09-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-20 | 2017-09-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-20 | 2017-09-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-20 | 2017-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-20 | 2017-09-02 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-07-20 | 2017-09-02 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-07-20 | 2017-09-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-09-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-20 | 2017-09-02 | N |
| 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 | 2017-04-06 | 2017-05-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-16 | Not Fixed | 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 | Not Fixed | N |
| Install proper backup exit lighting. | Fire Safety | 2019-08-16 | Not Fixed | 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 | Not Fixed | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-16 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-16 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-16 | Not Fixed | N |
| Be properly staffed | Fire Safety | 2019-08-16 | Not Fixed | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-08-16 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-16 | Not Fixed | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-16 | Not Fixed | N |
| 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 | Not Fixed | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-08-16 | Not Fixed | 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 | Not Fixed | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-16 | Not Fixed | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-16 | Not Fixed | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-16 | Not Fixed | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-08-16 | Not Fixed | 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 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | Not Fixed | 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 | Not Fixed | N |
