A list of the most recent deficiencies for St Mary of The Woods. 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 | 2022-06-23 | 2022-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-23 | 2022-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-21 | 2022-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-21 | 2022-07-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-21 | 2022-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-21 | 2022-07-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-01 | 2022-03-15 | 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 | 2021-11-19 | 2021-12-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-30 | 2019-06-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-30 | 2019-06-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-30 | 2019-06-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-30 | 2019-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-06-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-30 | 2019-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-30 | 2019-06-27 | N |
