A list of the most recent deficiencies for Alaris Health at St Mary's. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-18 | 2023-10-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-18 | 2023-10-17 | 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 | 2023-09-18 | 2023-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-18 | 2023-10-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-18 | 2023-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-18 | 2023-09-25 | 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 | 2023-09-18 | 2023-09-21 | 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 | 2023-09-18 | 2023-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-18 | 2023-09-20 | 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 | 2022-01-13 | 2022-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-01-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-01-13 | 2022-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-13 | 2022-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-13 | 2022-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-20 | 2020-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-20 | 2020-02-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-12-20 | 2020-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-20 | 2020-02-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-20 | 2020-02-10 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2019-12-20 | 2020-02-10 | N |
