CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Saint Helens Post Acute
View the most recent health deficiencies and inspection results for Saint Helens Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Saint Helens Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-04-27 | 2026-06-01 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-04-27 | 2026-06-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-04-27 | 2026-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-27 | 2026-06-01 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-04-27 | 2026-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-10 | 2026-04-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-10 | 2026-04-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-10 | 2026-04-21 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2025-12-15 | 2026-01-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-15 | 2026-01-10 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-15 | 2026-01-10 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-15 | 2026-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-21 | 2026-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-17 | 2025-11-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-01 | 2025-05-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-21 | 2025-02-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-01-21 | 2025-02-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-01-21 | 2025-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-21 | 2025-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-21 | 2025-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-21 | 2025-02-28 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-01-21 | 2025-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-21 | 2025-02-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-01-21 | 2025-02-28 | Y |
| 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 | 2025-01-21 | 2025-02-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-01-21 | 2025-02-28 | 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 | 2025-01-21 | 2025-02-28 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-21 | 2025-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-21 | 2025-02-28 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-01-21 | 2025-02-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-01-21 | 2025-02-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-01-21 | 2025-02-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-21 | 2025-02-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-21 | 2025-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-21 | 2025-02-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-21 | 2025-02-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-01-21 | 2025-02-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-01-21 | 2025-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-21 | 2025-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-21 | 2025-02-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-21 | 2025-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-12 | 2024-12-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-12 | 2024-12-13 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2024-06-05 | 2024-07-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-22 | 2024-03-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-22 | 2024-03-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-12 | 2023-10-25 | 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 | 2023-09-12 | 2023-10-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-12 | 2023-10-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-12 | 2023-10-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-12 | 2023-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-12 | 2023-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-12 | 2023-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-12 | 2023-10-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-12 | 2023-10-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-09-12 | 2023-10-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-12 | 2023-10-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-09-12 | 2023-10-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-09-12 | 2023-10-25 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-09-12 | 2023-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-12 | 2023-10-25 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-09-12 | 2023-10-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-12 | 2023-10-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-12 | 2023-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-10-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-12 | 2023-10-25 | N |
| Keep all essential equipment working safely. | Health | 2023-09-12 | 2023-10-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-12 | 2023-10-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-12 | 2023-10-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-12 | 2023-10-25 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-09-12 | 2023-10-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-12 | 2023-10-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-29 | 2022-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-29 | 2022-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-29 | 2022-10-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-29 | 2022-10-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-29 | 2022-10-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-29 | 2022-10-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-29 | 2022-10-10 | 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 | 2022-08-29 | 2022-10-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-29 | 2022-10-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-29 | 2022-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-29 | 2022-10-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-29 | 2022-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-29 | 2022-10-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-29 | 2022-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-29 | 2022-09-30 | N |