CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Little Sisters of The Poor
View the most recent health deficiencies and inspection results for Little Sisters of The Poor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Little Sisters of The Poor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-22 | 2026-03-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-22 | 2026-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-22 | 2026-03-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-01-22 | 2026-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-22 | 2026-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-01-22 | 2026-01-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-22 | 2026-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-01-22 | 2026-01-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-22 | 2026-01-30 | N |
| Provide training in compliance and ethics. | Health | 2025-12-03 | 2025-12-18 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-12-03 | 2025-12-18 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-12-03 | 2025-12-18 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-12-03 | 2025-12-18 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-12-03 | 2025-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-03 | 2025-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-21 | 2025-06-13 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-05-21 | 2025-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-16 | 2025-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-16 | 2025-05-16 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-04-16 | 2025-05-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-27 | 2025-01-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-11-27 | 2025-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-27 | 2025-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-27 | 2025-01-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-11-27 | 2025-01-24 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-11-27 | 2025-01-24 | 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 | 2024-11-27 | 2025-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-27 | 2025-01-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-11-27 | 2025-01-24 | N |
| Provide training in compliance and ethics. | Health | 2024-11-27 | 2025-01-24 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-11-27 | 2025-01-24 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-11-27 | 2025-01-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-11-27 | 2025-01-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-11-27 | 2025-01-24 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-11-27 | 2025-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-27 | 2025-01-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-27 | 2025-01-24 | 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 | 2024-11-27 | 2025-01-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-11-27 | 2025-01-24 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-11-27 | 2025-01-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-27 | 2025-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-27 | 2025-01-24 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-11-27 | 2025-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-27 | 2024-11-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-11-27 | 2024-11-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-08 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-08 | 2024-01-12 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-08 | 2024-01-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-08 | 2024-01-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-08 | 2024-01-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-08 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2024-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-08 | 2024-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-08 | 2024-01-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-08 | 2023-12-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-08 | 2023-12-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-08 | 2023-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-08 | 2023-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-08 | 2023-12-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-08 | 2023-12-21 | N |