Deficiency Records for St Anthony Healthcare and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Anthony Healthcare and Rehab 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-15 | 2023-08-08 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-06-15 | 2023-08-08 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-15 | 2023-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-08-08 | 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 | 2023-06-15 | 2023-08-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-15 | 2023-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-08-08 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-15 | 2023-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-08-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-15 | 2023-08-08 | N |
| Keep all essential equipment working safely. | Health | 2023-06-15 | 2023-08-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-15 | 2023-08-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-06-15 | 2023-08-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-15 | 2023-08-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-15 | 2023-08-08 | 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 | 2023-06-15 | 2023-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-15 | 2023-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-04 | 2023-02-01 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-01-04 | 2023-02-01 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-04 | 2023-02-01 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-06-17 | 2022-07-25 | N |
| Post nurse staffing information every day. | Health | 2022-06-17 | 2022-07-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-17 | 2022-07-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-17 | 2022-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-14 | 2022-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-14 | 2022-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-07-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-14 | 2022-07-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-06-14 | 2022-07-18 | 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 | 2022-02-15 | 2022-03-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-15 | 2022-03-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-15 | 2022-03-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-20 | 2021-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-20 | 2021-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-20 | 2021-12-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-20 | 2021-12-05 | Y |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2021-10-20 | 2021-12-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-20 | 2021-12-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-10-20 | 2021-12-05 | Y |
| Post nurse staffing information every day. | Health | 2021-10-20 | 2021-12-05 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-10-20 | 2021-12-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-20 | 2021-12-05 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-10-20 | 2021-12-05 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-25 | 2021-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-25 | 2021-07-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-25 | 2021-07-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-22 | 2021-07-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-03-02 | 2021-04-02 | Y |
