Deficiency Records for St. Teresa Nursing and Rehab Center
Updated as of February 01, 2018
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? |
|---|---|---|---|---|
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-15 | 2017-07-07 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-06-15 | 2017-07-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-15 | 2017-07-07 | 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 | 2017-06-13 | 2017-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-13 | 2017-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-13 | 2017-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-13 | 2017-07-06 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-13 | 2017-07-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-15 | 2017-07-06 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-06-15 | 2017-07-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-06-15 | 2017-07-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-15 | 2017-07-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-15 | 2017-07-06 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-06-15 | 2017-07-05 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-06-15 | 2017-07-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-15 | 2017-07-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-07 | 2017-04-25 | 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 | 2017-04-07 | 2017-04-25 | 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 | 2017-04-07 | 2017-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-09 | 2017-03-01 | Y |
| 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 |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-01 | 2016-07-01 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-06-01 | 2016-07-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-06-01 | 2016-06-02 | 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 |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-04-07 | 2015-04-15 | N |
| Portable fire extinguishers. | Fire Safety | 2015-04-07 | 2015-04-15 | 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 | 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 |
