CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Peace Care St Ann's
View the most recent health deficiencies and inspection results for Peace Care St Ann's. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Peace Care St Ann's. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-09 | 2026-04-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-09 | 2026-04-27 | 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 | 2026-03-09 | 2026-04-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-09 | 2026-04-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2026-03-09 | 2026-04-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-03-09 | 2026-04-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-09 | 2026-04-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-09 | 2026-04-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2026-03-09 | 2026-04-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2026-03-09 | 2026-04-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-03-09 | 2026-04-27 | 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 | 2026-03-09 | 2026-04-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2026-03-09 | 2026-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-09 | 2026-04-27 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2026-03-09 | 2026-04-27 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-09 | 2026-04-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-09 | 2026-04-27 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2026-03-09 | 2026-04-25 | 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 | 2026-03-09 | 2026-04-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-09 | 2026-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-21 | 2025-10-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-17 | 2024-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-17 | 2024-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-17 | 2024-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-17 | 2024-11-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-17 | 2024-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-17 | 2024-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-17 | 2024-10-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-22 | 2023-01-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-22 | 2023-01-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-11-22 | 2022-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-22 | 2022-12-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-22 | 2022-12-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-22 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-22 | 2022-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-22 | 2022-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-22 | 2022-12-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-22 | 2022-12-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-22 | 2022-12-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-22 | 2022-12-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-22 | 2022-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-22 | 2022-12-09 | N |