A list of the most recent deficiencies for Vincentian Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-27 | 2023-12-13 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-27 | 2023-12-13 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-13 | 2023-10-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-21 | 2023-09-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-21 | 2023-09-12 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-21 | 2023-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-21 | 2023-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-21 | 2023-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-13 | 2023-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-13 | 2023-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-13 | 2023-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-13 | 2023-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-13 | 2023-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-11 | 2023-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-09 | 2023-04-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-09 | 2023-04-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-09 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-04-26 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-03-09 | 2023-04-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-19 | 2022-10-04 | 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 | 2022-08-19 | 2022-10-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-19 | 2022-10-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-19 | 2022-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-22 | 2022-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-22 | 2022-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-22 | 2022-10-03 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-23 | 2021-08-01 | 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 | 2021-06-23 | 2021-08-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-23 | 2021-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-11 | 2021-07-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-11 | 2021-07-30 | 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 | 2021-06-11 | 2021-07-30 | N |
