Deficiency Records for St. Mary's Hospital
Updated as of January 01, 2018
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 |