A list of the most recent deficiencies for Spjst Rest Home No 2. 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 properly protected cooking facilities. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-20 | 2023-08-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-28 | 2023-07-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-09 | 2022-07-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-09 | 2022-07-22 | N |
| 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 | 2022-06-09 | 2022-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-07-22 | 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 | 2022-06-09 | 2022-07-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-09 | 2022-07-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-07 | 2022-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-07 | 2022-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-07 | 2022-07-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-16 | 2022-02-28 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-17 | 2022-01-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-17 | 2022-01-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-07-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-09 | 2021-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-08 | 2019-09-30 | N |
| 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 | 2019-08-08 | 2019-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-08 | 2019-09-30 | 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 | 2019-08-08 | 2019-09-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-08 | 2019-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-09 | 2019-09-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-09 | 2019-09-20 | N |
