Deficiency Records for St Martha Center For Rehabilitation and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for St Martha 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? |
|---|---|---|---|---|
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-29 | 2023-10-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-10 | 2023-04-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-10 | 2023-04-24 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-03-20 | 2023-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-20 | 2023-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-20 | 2023-04-24 | 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 | 2022-03-31 | 2022-05-23 | N |
| Meet other general requirements. | Fire Safety | 2022-03-08 | 2022-04-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-08 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-04 | 2021-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-09-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-18 | 2021-05-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-03-18 | 2021-05-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-18 | 2021-05-04 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-03-18 | 2021-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-05-04 | N |
| 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 | 2021-03-18 | 2021-05-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-03-18 | 2021-05-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-03-18 | 2021-05-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-18 | 2021-05-04 | 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 | 2021-03-18 | 2021-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-05-04 | N |
| Keep all essential equipment working safely. | Health | 2021-03-18 | 2021-05-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-18 | 2021-05-04 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-03-12 | 2020-05-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-12 | 2020-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-12 | 2020-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-27 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-27 | Not Fixed | 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 | 2023-03-10 | Not Fixed | Y |
