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Deficiency Records for St Mary's Center For Rehabilitation and Healthcare
View the most recent health deficiencies and inspection results for St Mary's Center For Rehabilitation and Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Mary's Center For Rehabilitation and Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-21 | 2026-01-31 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-02-27 | 2025-03-26 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-12-06 | 2025-01-15 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-12-06 | 2025-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-15 | 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 | 2024-12-06 | 2025-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-12-06 | 2025-01-15 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-06 | 2025-01-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-12-06 | 2025-01-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-12-06 | 2025-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-06 | 2025-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-11-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-19 | 2023-11-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-19 | 2023-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-11-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-19 | 2023-11-27 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-10-19 | 2023-11-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-19 | 2023-11-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-19 | 2023-11-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-19 | 2023-11-27 | 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 | 2023-10-19 | 2023-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-19 | 2023-11-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-19 | 2023-11-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-19 | 2023-11-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-19 | 2023-11-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-21 | 2022-08-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-21 | 2022-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-21 | 2022-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-21 | 2022-08-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-06-21 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-21 | 2022-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-21 | 2022-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-21 | 2022-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-21 | 2022-07-29 | 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 | 2022-06-21 | 2022-07-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-21 | 2022-07-29 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-06-21 | 2022-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-21 | 2022-07-29 | N |