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Deficiency Records for St. Mary's Hospital
View the most recent health deficiencies and inspection results for St. Mary's Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St. Mary's Hospital. Stay informed about quality of care issues.
| 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 | 2025-02-26 | 2025-04-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-02-26 | 2025-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-26 | 2025-04-30 | 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 | 2025-02-26 | 2025-04-30 | N |
| Post nurse staffing information every day. | Health | 2025-02-26 | 2025-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-26 | 2025-04-30 | 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 | 2025-02-26 | 2025-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-17 | 2024-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-17 | 2024-02-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-17 | 2024-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-24 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-26 | 2023-08-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-18 | 2022-05-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-18 | 2022-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-18 | 2022-05-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-05-18 | 2022-05-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-18 | 2022-05-18 | 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 | 2022-05-18 | 2022-05-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-18 | 2022-05-18 | N |