Deficiency Records for St Anns Community
Updated as of January 01, 2022
This is not the most recent data for St Anns Community. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-30 | 2019-06-29 | Y |
| 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 |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-03-29 | 2017-06-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-03-29 | 2017-06-26 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-29 | 2017-05-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-29 | 2017-05-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-29 | 2017-05-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-29 | 2017-05-27 | N |
| Provide or obtain dental services for each resident. | Health | 2017-03-29 | 2017-05-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-29 | 2017-05-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-03-29 | 2017-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-29 | 2017-05-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-03-29 | 2017-05-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-20 | Not Fixed | N |
