Deficiency Records for St Ignatius Nursing and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Ignatius Nursing and Rehab Center. 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? |
---|---|---|---|---|
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-12 | 2023-07-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-12 | 2023-07-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-12 | 2023-07-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-12 | 2023-07-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-07-17 | Y |
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 | 2023-06-12 | 2023-07-17 | Y |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-12 | 2023-06-23 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-12 | 2023-06-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-12 | 2023-06-12 | 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 | 2023-02-14 | 2023-03-07 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-20 | 2023-02-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-09 | 2022-10-01 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-09 | 2022-10-01 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-09 | 2022-10-01 | Y |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-08-09 | 2022-10-01 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-09 | 2022-10-01 | Y |
Keep all essential equipment working safely. | Health | 2022-08-09 | 2022-10-01 | Y |
Use approved construction type or materials. | Fire Safety | 2021-08-09 | 2021-11-05 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-09 | 2021-11-05 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-08-09 | 2021-11-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-09 | 2021-11-05 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-09 | 2021-11-05 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-09 | 2021-11-05 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Provide emergency officials' contact information. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Meet other general requirements. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Have proper power supply for life support equipment. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-09 | 2021-09-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-09 | 2021-09-28 | 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 | 2021-07-13 | 2021-09-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-13 | 2021-09-11 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-13 | 2021-09-11 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-07-13 | 2021-09-11 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-23 | Not Fixed | Y |