A list of the most recent deficiencies for St Mary's Alzheimer's Center. 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 | 2023-03-22 | 2023-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-18 | 2022-09-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-22 | 2019-09-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-22 | 2019-09-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-22 | 2019-09-27 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-22 | 2019-09-27 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-08-20 | 2019-09-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-20 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-28 | 2018-07-27 | 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 | 2018-06-28 | 2018-07-27 | N |
