Deficiency Records for St Dominic Village Nursing Home
Updated as of September 01, 2018
This is not the most recent data for St Dominic Village Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for St Dominic Village Nursing Home. 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 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 | 2018-06-29 | 2018-07-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-29 | 2018-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-29 | 2018-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-28 | 2018-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-28 | 2018-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-28 | 2018-07-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-11 | 2017-09-15 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-11 | 2017-09-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-10 | 2017-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-10 | 2017-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-10 | 2017-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-08-10 | 2017-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-10 | 2017-09-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-07 | 2016-10-10 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-07 | 2016-10-10 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-09-07 | 2016-10-10 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-07 | 2016-10-10 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-09-07 | 2016-10-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-07 | 2016-10-10 | 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 | 2016-09-09 | 2016-10-06 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-09 | 2016-10-06 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-09-09 | 2016-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-09 | 2016-10-02 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-09-09 | 2016-10-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-09 | 2016-10-02 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-09-09 | 2016-10-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-09 | 2016-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-15 | 2016-08-08 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-07-15 | 2016-08-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-15 | 2016-08-08 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-15 | 2016-08-08 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-26 | 2016-03-22 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-26 | 2016-03-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-22 | 2016-02-15 | Y |
