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Deficiency Records for St Leonard Hcc
View the most recent health deficiencies and inspection results for St Leonard Hcc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Leonard Hcc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-17 | 2025-10-14 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-05-30 | 2025-06-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-30 | 2025-06-13 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-30 | 2025-06-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-22 | 2024-11-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-18 | 2024-09-11 | 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 | 2024-07-18 | 2024-09-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-07-18 | 2024-09-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-18 | 2024-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-09-09 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-18 | 2024-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-18 | 2024-09-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-18 | 2024-09-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-09-09 | 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 | 2024-07-18 | 2024-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-09-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-07-18 | 2024-09-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-07-18 | 2024-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-18 | 2024-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-18 | 2024-09-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-18 | 2024-09-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-20 | 2024-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-20 | 2024-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-20 | 2024-03-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-12-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-16 | 2023-11-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-06 | 2023-07-19 | 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 | 2023-05-01 | 2023-05-09 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-10 | 2021-07-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-10 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-10 | 2021-07-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-10 | 2021-07-09 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-10 | 2021-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-10 | 2021-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-10 | 2021-07-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-10 | 2021-07-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-10 | 2021-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-31 | 2019-04-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-31 | 2019-04-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-31 | 2019-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-04-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-31 | 2019-04-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-01-31 | 2019-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-04-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-31 | 2019-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-31 | 2019-04-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-04-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-31 | 2019-04-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-31 | 2019-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-31 | 2019-04-02 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-31 | 2019-04-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-31 | 2019-04-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-31 | 2019-04-02 | 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 | 2019-01-31 | 2019-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-31 | 2019-04-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-31 | 2019-04-02 | N |