A list of the most recent deficiencies for All Saint's Maubert. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-13 | 2022-11-15 | N |
| Post nurse staffing information every day. | Health | 2022-10-13 | 2022-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-13 | 2022-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Establish methods for sharing information. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-17 | 2022-11-07 | 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 | 2022-10-17 | 2022-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-17 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-24 | 2020-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-24 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-24 | 2020-03-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-06 | 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 | 2020-02-13 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Develop a communication plan. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-22 | 2019-03-18 | 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 | 2018-12-20 | 2019-01-09 | N |
