Deficiency Records for St. Pauls Health Care Center
Updated as of October 01, 2018
This is not the most recent data for St. Pauls Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for St. Pauls Health Care 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-30 | 2018-08-02 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-23 | 2018-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-23 | 2018-08-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Develop a communication plan. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-19 | 2018-05-17 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-04-19 | 2018-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-19 | 2018-05-17 | 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 | 2018-04-19 | 2018-05-17 | 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 | 2018-04-19 | 2018-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-19 | 2018-05-17 | 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 ne | Health | 2018-04-19 | 2018-05-17 | 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 | 2018-04-19 | 2018-05-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-04-19 | 2018-05-17 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-04-19 | 2018-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-17 | 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 | 2018-04-19 | 2018-05-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-05 | 2017-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-05 | 2017-04-26 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-05 | 2017-04-25 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-01-23 | 2017-02-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-23 | 2017-02-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-23 | 2017-02-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-23 | 2017-02-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-23 | 2017-02-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-23 | 2017-02-15 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-02-11 | 2016-02-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-05 | 2016-02-09 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-02-05 | 2016-02-09 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-05 | 2016-02-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-05 | 2016-02-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-05 | 2016-02-09 | N |
