A list of the most recent deficiencies for St Cabrini Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2023-10-20 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-29 | 2023-08-15 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-06-29 | 2023-08-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-26 | 2023-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-26 | 2023-07-24 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-05-26 | 2023-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-26 | 2023-07-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-26 | 2023-07-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-26 | 2023-07-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-26 | 2023-07-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-18 | 2023-06-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-18 | 2023-06-09 | 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 | 2023-05-18 | 2023-06-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-18 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-09 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-07 | 2021-11-25 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-04-17 | 2019-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-17 | 2019-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-17 | 2019-09-20 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-04-17 | 2019-09-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-17 | 2019-07-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-17 | 2019-06-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-04-17 | 2019-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-17 | 2019-06-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-04-17 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-17 | 2019-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-18 | 2019-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-06-17 | 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 | 2019-04-18 | 2019-06-17 | 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 | 2019-04-18 | 2019-06-17 | 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 | 2019-04-18 | 2019-06-17 | 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 | 2019-04-18 | 2019-06-17 | 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 | 2019-04-18 | 2019-06-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-18 | 2019-06-17 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-01 | 2017-09-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-01 | 2017-09-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-01 | 2017-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-08-01 | 2017-09-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-08-01 | 2017-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-01 | 2017-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-01 | 2017-09-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-08-01 | 2017-09-01 | N |
