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Deficiency Records for St Margarets Center
View the most recent health deficiencies and inspection results for St Margarets Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Margarets Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-02-18 | 2025-05-05 | N |
| Develop a communication plan. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| 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 | 2025-02-18 | 2025-04-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-02-18 | 2025-04-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-02-18 | 2025-04-07 | 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 | 2025-02-18 | 2025-04-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-18 | 2025-04-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-18 | 2025-04-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-05 | 2023-11-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-05 | 2023-11-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-27 | 2023-08-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-27 | 2023-08-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-27 | 2023-08-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-29 | 2022-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-29 | 2022-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-29 | 2022-07-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-29 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-29 | 2022-07-19 | 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 | 2022-06-29 | 2022-07-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-06-29 | 2022-07-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-11 | 2020-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-11 | 2020-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-11 | 2020-04-03 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-11 | 2020-04-03 | N |