Deficiency Records for Saint Albans Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Saint Albans Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2023-10-04 | 2023-11-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-11-03 | 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 | 2023-10-04 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-12 | 2023-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-07-12 | Y |
| Post nurse staffing information every day. | Health | 2023-06-12 | 2023-07-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-06-12 | 2023-07-12 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-06-12 | 2023-07-12 | Y |
| 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 | 2022-10-26 | 2022-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-26 | 2022-11-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-26 | 2022-11-26 | 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 | 2022-10-26 | 2022-11-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-27 | 2022-06-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-18 | 2022-01-21 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-07 | 2022-01-06 | Y |
| 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 | 2021-12-07 | 2022-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-07 | 2022-01-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-07 | 2022-01-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-07 | 2022-01-06 | Y |
| Provide appropriate foot care. | Health | 2021-12-07 | 2022-01-06 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-12-07 | 2022-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2022-01-06 | 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 | 2021-10-06 | 2021-11-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-06 | 2021-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-06 | 2021-11-06 | 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 | 2021-10-06 | 2021-11-06 | 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 | 2021-10-06 | 2021-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-06 | 2021-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-12 | 2021-06-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-18 | Not Fixed | Y |
| Conform to length requirements for dead end corridors. | Fire Safety | 2022-10-25 | Not Fixed | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-25 | Not Fixed | N |
