Deficiency Records for St. Teresa Nursing and Rehab Center
Updated as of November 01, 2019
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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-22 | 2019-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-24 | 2019-06-18 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-05-24 | 2019-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-06-18 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-05-24 | 2019-06-18 | Y |
| 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 | 2019-05-22 | 2019-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-05 | 2019-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-05-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-15 | 2019-03-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-15 | 2019-03-29 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-13 | 2018-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-13 | 2018-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-13 | 2018-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-15 | 2018-07-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-15 | 2018-07-06 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-15 | 2018-07-06 | 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 | 2018-06-15 | 2018-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-15 | 2018-07-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-15 | 2018-07-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-15 | 2018-07-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-15 | 2018-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-15 | 2018-04-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-15 | 2018-04-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-15 | 2018-04-10 | Y |
| Provide appropriate foot care. | Health | 2018-03-15 | 2018-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-15 | 2018-04-10 | Y |
| 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 | 2018-03-15 | 2018-04-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-15 | 2018-04-10 | Y |
| 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 |
