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Deficiency Records for St Andrews
View the most recent health deficiencies and inspection results for St Andrews. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Andrews. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-14 | 2025-08-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-14 | 2025-08-07 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-06-03 | 2025-07-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-18 | 2025-05-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-04-18 | 2025-05-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-18 | 2025-05-09 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-04-18 | 2025-05-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-04-18 | 2025-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-18 | 2025-05-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-04-18 | 2025-05-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-18 | 2025-05-09 | 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 | 2025-04-18 | 2025-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-18 | 2025-05-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-18 | 2025-05-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-18 | 2025-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-18 | 2025-05-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-04-18 | 2025-05-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-04-18 | 2025-05-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-18 | 2025-05-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-18 | 2025-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-18 | 2025-05-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-04-18 | 2025-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-18 | 2025-05-09 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-04-18 | 2025-05-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-04-18 | 2025-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-25 | 2024-10-25 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-09-25 | 2024-10-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-03 | 2024-09-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-27 | 2024-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-27 | 2024-09-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-27 | 2024-09-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-09 | 2024-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-06-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-09 | 2024-06-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-28 | 2024-05-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-28 | 2024-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-28 | 2024-05-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-28 | 2024-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-28 | 2024-05-28 | 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 | 2024-04-28 | 2024-05-28 | 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 necessary and PRN use is limited. | Health | 2024-04-28 | 2024-05-28 | 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 | 2024-04-28 | 2024-05-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-28 | 2024-05-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-28 | 2024-05-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-09 | 2024-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-08-30 | Y |
| 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 | 2023-07-13 | 2023-07-19 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-04 | 2022-04-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-04 | 2022-04-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-04 | 2022-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-04 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-04-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-04 | 2022-04-04 | 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 | 2022-03-04 | 2022-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-04 | 2022-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-04 | 2022-04-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-04 | 2022-04-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-04 | 2022-03-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-04 | 2022-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-04 | 2022-03-29 | N |