Deficiency Records for Avera Sister James Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Avera Sister James Care 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?
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-01-24 2024-02-15 Y
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 2023-09-14 2023-10-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-14 2023-10-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-11 2022-09-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-09 2022-09-07 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-08-09 2022-09-07 N
Provide and implement an infection prevention and control program. Health 2019-12-04 2020-01-10 N