Deficiency Records for St. Mary's Hospital
Updated as of August 01, 2017
This is not the most recent data for St. Mary's Hospital. For the most recent information, click here.
A list of the most recent deficiencies for St. Mary's Hospital. 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? |
|---|---|---|---|---|
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-20 | 2017-05-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-20 | 2017-05-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-04 | 2016-03-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-04 | 2016-03-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-04 | 2016-03-23 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-04 | 2016-03-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-01-09 | 2015-04-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-01-09 | 2015-04-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-09 | 2015-04-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-01-09 | 2015-04-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-09 | 2015-04-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-01-09 | 2015-04-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-01-09 | 2015-03-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-01-09 | 2015-03-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-01-09 | 2015-03-12 | N |
| Provide housekeeping and maintenance services. | Health | 2015-01-09 | 2015-03-12 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-01-09 | 2015-03-12 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-01-09 | 2015-03-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-01-09 | 2015-03-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-09 | 2015-03-12 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-01-09 | 2015-03-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-01-09 | 2015-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-09 | 2015-03-12 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-01-09 | 2015-03-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-01-09 | 2015-03-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-09 | 2015-03-12 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-01-09 | 2015-03-12 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2015-01-09 | 2015-03-12 | N |
