A list of the most recent deficiencies for Saint Vincent Healthcare. 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? |
|---|---|---|---|---|
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-02 | 2023-11-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-02 | 2023-11-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-11-02 | 2023-11-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-11-02 | 2023-11-27 | N |
| 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 | 2023-11-02 | 2023-11-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-02 | 2023-11-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-02 | 2023-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-02 | 2023-11-27 | 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 | 2023-11-02 | 2023-11-27 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-02 | 2023-11-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-02 | 2023-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-02 | 2023-11-27 | 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 | 2023-11-02 | 2023-11-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-02 | 2023-11-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-02 | 2023-11-27 | 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 | 2023-11-02 | 2023-11-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-02 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-11-27 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-02 | 2023-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-27 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-11-02 | 2023-11-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-02 | 2023-11-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-04 | 2022-11-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-04 | 2022-11-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-04 | 2022-11-30 | N |
| 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 | 2022-11-04 | 2022-11-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-04 | 2022-11-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-04 | 2022-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-04 | 2022-11-30 | 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 | 2022-11-04 | 2022-11-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-11-30 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-11-04 | 2022-11-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-11-04 | 2022-11-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-11-03 | 2022-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-03 | 2022-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-03 | 2022-11-10 | N |
| 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 | 2019-11-21 | 2019-12-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2019-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2019-12-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-21 | 2019-12-16 | N |
| Post nurse staffing information every day. | Health | 2019-11-21 | 2019-12-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-11-21 | 2019-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2019-12-16 | 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 | 2019-11-21 | 2019-12-16 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-11-21 | 2019-12-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-21 | 2019-12-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-11-19 | 2019-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-19 | 2019-12-06 | N |
