Deficiency Records for St Peters Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Peters Nursing and Rehabilitation 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-13 | 2023-02-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-22 | 2023-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2023-01-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-22 | 2023-01-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-17 | 2023-01-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2023-01-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-17 | 2023-01-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-17 | 2023-01-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-25 | 2022-04-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-25 | 2022-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-07 | 2020-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-07 | 2020-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-07 | 2020-12-04 | N |
| Dispose of garbage and refuse properly. | Health | 2020-10-07 | 2020-12-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-10-07 | 2020-12-04 | N |
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-15 | 2019-04-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-15 | 2019-04-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-15 | 2019-04-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-02-15 | 2019-04-12 | 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 | 2019-02-15 | 2019-04-12 | 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 | 2019-02-15 | 2019-04-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-02-15 | 2019-04-12 | 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 | 2019-02-15 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-15 | 2019-04-12 | N |
