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Deficiency Records for St Vincent's - A Prospera Community

View the most recent health deficiencies and inspection results for St Vincent's - A Prospera Community. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for St Vincent's - A Prospera Community. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Fire Safety 2025-04-03 2025-05-28 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-04-03 2025-05-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-04-03 2025-05-07 Y
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 2025-04-03 2025-05-07 Y
Post nurse staffing information every day. Health 2025-04-03 2025-05-07 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-04-03 2025-05-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-04-03 2025-05-07 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-04-03 2025-05-07 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2025-04-03 2025-05-07 Y
Assess the resident when there is a significant change in condition Health 2025-04-03 2025-05-07 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2025-04-03 2025-05-07 Y
Respond appropriately to all alleged violations. Health 2025-04-03 2025-05-07 Y
Provide and implement an infection prevention and control program. Health 2025-04-03 2025-05-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-04-03 2025-05-07 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2025-04-03 2025-05-07 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-04-03 2025-05-07 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-04-03 2025-05-07 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 2025-04-03 2025-05-07 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-04-03 2025-05-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-03 2025-05-07 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2025-04-03 2025-05-07 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-29 2024-04-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-02-29 2024-04-18 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2024-02-29 2024-04-18 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-29 2024-04-08 Y
Provide and implement an infection prevention and control program. Health 2024-02-29 2024-04-08 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-29 2024-04-08 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-29 2024-04-08 Y
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 2024-02-29 2024-04-08 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-02-29 2024-04-08 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-02-29 2024-04-08 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-29 2024-04-08 Y
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 2024-02-29 2024-04-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-04-08 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-02-29 2024-04-08 Y
Ensure each resident receives an accurate assessment. Health 2024-02-29 2024-04-08 Y
Provide and implement an infection prevention and control program. Health 2023-03-02 2023-03-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-02 2023-03-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-02 2023-03-25 N
Provide properly protected cooking facilities. Fire Safety 2023-03-02 2023-03-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-02 2023-03-22 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-02 2023-03-22 N

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