Deficiency Records for St Peters Nursing and Rehabilitation Center
Updated as of July 01, 2019
This is not the most recent data for St Peters Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2019-02-15 | 2019-04-15 | N |
| Have protected exits that allow the resident to escape the building. | 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 |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-11 | 2017-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-11 | 2017-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-11 | 2017-07-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-11 | 2017-07-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-11 | 2017-07-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-07-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-11 | 2017-07-10 | Y |
| 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 | 2017-05-11 | 2017-07-10 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-11 | 2017-07-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-17 | 2017-01-16 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-10 | 2016-05-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-03-10 | 2016-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-10 | 2016-05-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-10 | 2016-05-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-10 | 2016-05-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-10 | 2016-05-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-10 | 2016-05-06 | N |
