Deficiency Records for St Mary Center For Rehabilitation and Healthcare
Updated as of May 01, 2018
This is not the most recent data for St Mary Center For Rehabilitation and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for St Mary Center For Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2017-11-08 | 2018-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-08 | 2018-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-13 | 2018-01-03 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2017-12-13 | 2018-01-03 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2017-12-13 | 2018-01-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-03 | 2018-01-03 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-03 | 2018-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-03 | 2018-01-03 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-11-03 | 2018-01-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-03 | 2018-01-03 | N |
| Dispose of garbage and refuse properly. | Health | 2017-11-03 | 2018-01-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-03 | 2018-01-03 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-11-03 | 2018-01-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-30 | 2017-10-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-30 | 2017-10-10 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-30 | 2017-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-13 | 2017-06-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-05 | 2017-06-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-05 | 2017-06-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-05 | 2017-05-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-16 | 2017-02-23 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-12-16 | 2017-01-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-16 | 2017-01-30 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-12-16 | 2017-01-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-12-16 | 2017-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-16 | 2017-01-30 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-12-16 | 2017-01-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-16 | 2017-01-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-16 | 2017-01-30 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Use approved construction type or materials. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-19 | 2017-01-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-15 | 2016-08-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-15 | 2016-08-29 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-04 | 2015-12-27 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-11-21 | 2015-12-27 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-05 | 2015-12-27 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-11-05 | 2015-12-27 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-05 | 2015-12-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-11-05 | 2015-12-27 | Y |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2015-11-05 | 2015-12-27 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-11-05 | 2015-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-11-05 | 2015-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-05 | 2015-12-27 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-11-05 | 2015-12-27 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-11-05 | 2015-12-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-05 | 2015-12-27 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2015-11-05 | 2015-12-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-11-05 | 2015-12-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-07-16 | Not Fixed | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-16 | Not Fixed | Y |
