A list of the most recent deficiencies for St Anns Community. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-22 | 2022-12-01 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-09-22 | 2022-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-22 | 2022-12-01 | Y |
| 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 | 2022-09-22 | 2022-11-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-22 | 2022-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-22 | 2022-11-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-22 | 2022-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-22 | 2022-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-22 | 2022-11-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-30 | 2022-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-07 | 2020-03-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-01-07 | 2020-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-07 | 2020-03-07 | 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 | 2020-01-07 | 2020-03-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-01-07 | 2020-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-07 | 2020-03-07 | 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 | 2020-01-07 | 2020-03-07 | 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 | 2020-01-07 | 2020-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-07 | 2020-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2020-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-07 | 2020-03-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-22 | 2020-02-07 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-20 | 2018-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-20 | 2018-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-20 | 2018-08-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-20 | 2018-08-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-20 | 2018-08-19 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-06-20 | 2018-08-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-20 | Not Fixed | N |
