A list of the most recent deficiencies for Gardens at St Henry The. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-09 | 2022-12-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-09 | 2022-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-27 | 2021-09-21 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-08-27 | 2021-09-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-16 | 2019-09-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-16 | 2018-10-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-16 | 2018-10-01 | 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 | 2018-08-16 | 2018-10-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-16 | 2018-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-15 | 2018-10-01 | N |
