Deficiency Records for All Saint's Subacute and Transitional Care
Updated as of March 01, 2018
This is not the most recent data for All Saint's Subacute and Transitional Care. For the most recent information, click here.
A list of the most recent deficiencies for All Saint's Subacute and Transitional Care. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2017-01-24 | 2017-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-24 | 2017-03-14 | 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 | 2017-01-19 | 2017-02-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-19 | 2017-02-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-19 | 2017-02-15 | N |
| Keep all essential equipment working safely. | Health | 2017-01-19 | 2017-02-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-01-19 | 2017-02-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-19 | 2017-02-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-07-06 | 2016-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-02 | 2016-08-23 | Y |
| Approved construction type or materials. | Fire Safety | 2016-02-17 | 2016-03-22 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-17 | 2016-03-22 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-02-17 | 2016-03-22 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-02-17 | 2016-03-22 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-17 | 2016-03-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-17 | 2016-03-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-28 | 2016-03-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-28 | 2016-03-10 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-01-28 | 2016-03-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-28 | 2016-03-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-01-28 | 2016-03-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-28 | 2016-03-10 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-09-10 | 2015-10-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-10 | 2015-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-10 | 2015-10-16 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-10-23 | 2014-12-02 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2014-10-23 | 2014-12-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-10-23 | 2014-12-02 | N |
| Provide housekeeping and maintenance services. | Health | 2014-10-23 | 2014-12-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-10-23 | 2014-12-02 | 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 | 2014-10-23 | 2014-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-23 | 2014-12-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-23 | 2014-12-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-10-23 | 2014-12-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-23 | 2014-12-02 | N |
| Keep all essential equipment working safely. | Health | 2014-10-23 | 2014-12-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-10-23 | 2014-12-02 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-10-23 | 2014-12-02 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2014-10-23 | 2014-12-02 | N |
| Approved construction type or materials. | Fire Safety | 2014-10-28 | 2014-11-19 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-10-28 | 2014-11-19 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-10-28 | 2014-11-19 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-10-28 | 2014-11-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-10-28 | 2014-11-19 | N |
