Deficiency Records for St. Teresa Nursing and Rehab Center
Updated as of February 01, 2017
This is not the most recent data for St. Teresa Nursing and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for St. Teresa Nursing and Rehab Center. 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? |
|---|---|---|---|---|
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-20 | 2016-11-07 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-06-09 | 2016-07-07 | N |
| 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 | 2016-06-09 | 2016-07-07 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-06-09 | 2016-07-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-06-09 | 2016-07-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-09 | 2016-07-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-09 | 2016-07-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-09 | 2016-07-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-09 | 2016-07-07 | 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 | 2016-06-09 | 2016-07-07 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-06-09 | 2016-07-07 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-06-09 | 2016-07-07 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-06-09 | 2016-07-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-09 | 2016-07-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-09 | 2016-07-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-09 | 2016-07-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-09 | 2016-07-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-06-09 | 2016-07-07 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-06-09 | 2016-07-07 | N |
| 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 | 2016-01-15 | 2016-02-09 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-15 | 2016-02-09 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-15 | 2016-02-09 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-15 | 2016-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-15 | 2016-02-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-10-23 | 2015-11-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-09-10 | 2015-09-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-10 | 2015-09-15 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-08-27 | 2015-08-28 | 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 | 2015-08-27 | 2015-08-28 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-27 | 2015-08-28 | Y |
| 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 | 2015-06-09 | 2015-06-12 | 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 | 2015-04-10 | 2015-04-15 | N |
| Provide housekeeping and maintenance services. | Health | 2015-04-10 | 2015-04-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-04-10 | 2015-04-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-04-10 | 2015-04-15 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-04-10 | 2015-04-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-04-10 | 2015-04-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-04-10 | 2015-04-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-04-10 | 2015-04-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-10 | 2015-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-04-10 | 2015-04-15 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2015-04-10 | 2015-04-15 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-04-10 | 2015-04-15 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-04-10 | 2015-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-04-10 | 2015-04-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-10 | 2015-04-15 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-04-10 | 2015-04-15 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2014-12-18 | 2015-01-31 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-11-20 | 2015-01-15 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-11-20 | 2015-01-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-11-20 | 2015-01-15 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2014-11-20 | 2014-12-31 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2014-11-20 | 2014-12-31 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-11-20 | 2014-12-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2014-06-17 | 2014-08-11 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2014-06-17 | 2014-08-11 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2014-06-17 | 2014-08-11 | 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 | 2014-06-17 | 2014-08-11 | 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 | 2014-06-17 | 2014-08-11 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-17 | 2014-08-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-06-17 | 2014-08-11 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-06-17 | 2014-08-11 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-06-17 | 2014-08-11 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-17 | 2014-08-11 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-06-17 | 2014-08-11 | Y |
| 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 | 2014-06-17 | 2014-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-17 | 2014-08-11 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-06-17 | 2014-08-11 | Y |
| 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 | 2014-06-17 | 2014-08-11 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2014-06-17 | 2014-08-11 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-06-17 | 2014-08-11 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2014-06-17 | 2014-08-11 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-06-17 | 2014-08-11 | Y |
| Make sure that doctors visit residents regularly, as required. | Health | 2014-06-17 | 2014-08-11 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-06-17 | 2014-08-11 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-06-17 | 2014-08-11 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-17 | 2014-08-11 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-06-17 | 2014-08-11 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-06-17 | 2014-08-11 | Y |
