A list of the most recent deficiencies for Jeanne Jugan 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 properly protected cooking facilities. | Fire Safety | 2022-08-18 | 2022-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-18 | 2022-10-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-08-18 | 2022-09-22 | N |
| Post nurse staffing information every day. | Health | 2022-08-18 | 2022-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-18 | 2022-09-08 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-12-13 | 2020-01-27 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-12-13 | 2020-01-27 | 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 | 2019-12-13 | 2020-01-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-13 | 2020-01-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-12-13 | 2020-01-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-13 | 2020-01-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-13 | 2020-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-01-27 | 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 | 2019-12-13 | 2020-01-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-13 | 2020-01-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-13 | 2020-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-13 | 2020-01-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-13 | 2020-01-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-13 | 2020-01-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-13 | 2020-01-27 | 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 | 2019-12-13 | 2020-01-27 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-12-13 | 2020-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-13 | 2020-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-13 | 2020-01-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-13 | 2020-01-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-14 | 2019-01-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-12-14 | 2019-01-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-14 | 2019-01-28 | N |
| Post nurse staffing information every day. | Health | 2018-12-14 | 2019-01-28 | 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 | 2018-12-14 | 2019-01-28 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-12-14 | 2019-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-14 | 2019-01-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-14 | 2019-01-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-14 | 2019-01-28 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-14 | 2019-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-14 | 2019-01-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-14 | 2019-01-28 | N |
