A list of the most recent deficiencies for St Augustine Manor. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-10 | 2023-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-10 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-16 | Y |
| 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 | 2023-05-09 | 2023-06-16 | 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 | 2023-05-09 | 2023-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-09 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-09 | 2023-06-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-09 | 2023-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-09 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-05 | 2022-01-21 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-05 | 2020-05-19 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2019-12-05 | 2020-04-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-12-05 | 2020-01-23 | 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 | 2019-12-05 | 2020-01-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-05 | 2020-01-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-05 | 2020-01-23 | 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 | 2019-12-05 | 2020-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2018-10-19 | 2019-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-19 | 2019-05-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-19 | 2019-05-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2019-01-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-19 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2019-01-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Meet other general requirements. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-10-19 | 2019-01-15 | 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 | 2018-10-19 | 2019-01-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-19 | 2019-01-15 | N |
