Deficiency Records for St. Theresa Care Center
Updated as of May 01, 2019
This is not the most recent data for St. Theresa Care Center. For the most recent information, click here.
A list of the most recent deficiencies for St. Theresa Care 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? |
|---|---|---|---|---|
| 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 | 2018-11-27 | 2019-01-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-11-27 | 2019-01-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-11-29 | 2019-01-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-29 | 2019-01-15 | 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 | 2018-11-29 | 2019-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2019-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-29 | 2019-01-15 | 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 | 2018-11-29 | 2019-01-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-29 | 2019-01-15 | 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 | 2017-09-11 | 2017-10-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-11 | 2017-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-11 | 2017-10-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-09-11 | 2017-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-11 | 2017-10-20 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-14 | 2017-10-20 | N |
| Provide or obtain dental services for each resident. | Health | 2017-09-14 | 2017-10-20 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-09-14 | 2017-10-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-31 | 2017-09-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-31 | 2017-09-14 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-31 | 2017-09-14 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-31 | 2017-09-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-31 | 2017-09-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-05 | 2017-07-26 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-07-05 | 2017-07-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-06 | 2017-07-26 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-06 | 2017-07-26 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-06 | 2017-07-26 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-16 | 2017-07-26 | Y |
| Use approved construction type or materials. | Fire Safety | 2016-12-06 | 2017-01-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2016-12-06 | 2017-01-13 | 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 | 2016-12-06 | 2017-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-06 | 2017-01-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2016-12-06 | 2017-01-13 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-08 | 2017-01-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-08 | 2017-01-13 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-12-08 | 2017-01-13 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-08 | 2017-01-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-08 | 2017-01-13 | Y |
