A list of the most recent deficiencies for Mount St Rita Health Centre. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-25 | 2023-11-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-25 | 2023-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-25 | 2023-11-24 | 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 | 2023-10-25 | 2023-11-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-25 | 2023-11-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-25 | 2023-11-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-25 | 2023-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-11-24 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-10-25 | 2023-11-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-25 | 2023-11-24 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-09-14 | 2023-10-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-14 | 2023-10-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-06 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-09 | 2023-09-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-12 | 2023-06-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-18 | 2023-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-26 | 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 | 2022-07-21 | 2022-08-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-21 | 2022-08-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-14 | 2022-08-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-07-14 | 2022-08-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-14 | 2022-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-13 | 2022-08-08 | 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 | 2022-07-13 | 2022-08-08 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-12-28 | 2022-01-28 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-06 | 2021-05-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-06 | 2021-05-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-06 | 2021-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-06 | 2021-05-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-06 | 2021-05-26 | N |
