A list of the most recent deficiencies for St Clare Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-20 | 2023-03-13 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-20 | 2023-03-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-20 | 2023-03-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-20 | 2023-03-13 | Y |
| 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 | 2023-02-20 | 2023-03-13 | Y |
| 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 | 2023-02-20 | 2023-03-13 | Y |
| 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 | 2023-02-20 | 2023-03-13 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-20 | 2023-03-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-20 | 2023-03-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-20 | 2023-03-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-21 | 2023-03-13 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-17 | 2023-03-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-20 | 2023-03-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-20 | 2023-03-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-04 | 2022-10-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-09 | 2022-09-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-15 | 2022-08-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-15 | 2022-08-03 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-01-21 | 2022-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-21 | 2022-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-21 | 2022-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-21 | 2022-02-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-21 | 2022-02-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-21 | 2022-02-15 | 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 | 2022-01-21 | 2022-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-07 | 2021-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-14 | 2020-10-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-14 | 2020-10-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-11 | 2020-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-11 | 2020-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-11 | 2020-10-14 | 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 | 2020-09-14 | 2020-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-14 | 2020-10-10 | 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 | 2020-09-14 | 2020-10-10 | 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 | 2020-09-14 | 2020-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-14 | 2020-10-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-09-14 | 2020-10-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-14 | 2020-10-06 | N |
