A list of the most recent deficiencies for St Catherine of Siena. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-12 | 2023-10-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-12 | 2023-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-12 | 2023-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-10-29 | 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 | 2023-10-12 | 2023-10-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-10-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-12 | 2023-10-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-12 | 2023-10-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-12 | 2023-10-25 | 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 | 2023-10-12 | 2023-10-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-06 | 2022-12-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-06 | 2022-12-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-06 | 2022-11-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-10-06 | 2022-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-11-28 | N |
| Post nurse staffing information every day. | Health | 2022-10-06 | 2022-11-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-06 | 2022-11-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2022-11-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-06 | 2022-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-06 | 2022-11-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-10-06 | 2022-11-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-10-26 | N |
