A list of the most recent deficiencies for Smp Health - St Raphael. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-12 | 2023-10-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-14 | 2023-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-31 | 2023-01-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-21 | 2022-08-25 | 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 | 2022-07-21 | 2022-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-08-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-06 | 2021-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-06 | 2021-06-07 | Y |
| Post nurse staffing information every day. | Health | 2021-05-06 | 2021-06-07 | 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 | 2021-05-06 | 2021-06-07 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-12 | 2021-05-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-12 | 2021-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-12 | 2021-05-24 | N |
