Deficiency Records for St Ignatius Nursing and Rehab Center

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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