Deficiency Records for St Giles Nursing and Rehabilitation Center
Updated as of September 01, 2019
This is not the most recent data for St Giles Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for St Giles Nursing and Rehabilitation 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-29 | 2019-01-03 | 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 | 2018-11-29 | 2019-01-03 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2018-11-29 | 2019-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2018-12-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-11-29 | 2018-12-31 | 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 | 2018-11-29 | 2018-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2018-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2018-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-27 | 2018-05-17 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-27 | 2018-05-17 | 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 | 2018-04-27 | 2018-05-17 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-04-27 | 2018-05-17 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Develop a communication plan. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-23 | N |
| Provide activities to meet all resident's needs. | Health | 2018-01-11 | 2018-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-11 | 2018-02-23 | 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 | 2018-01-11 | 2018-02-23 | 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 | 2018-01-11 | 2018-02-23 | 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 | 2018-01-11 | 2018-02-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-11 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-29 | 2017-09-29 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-04 | 2017-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-04 | 2017-08-25 | 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 | 2017-02-24 | 2017-03-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-24 | 2017-03-22 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-24 | 2017-03-22 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-02-24 | 2017-03-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-24 | 2017-03-22 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-24 | 2017-03-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-02-24 | 2017-03-22 | 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 | 2017-02-24 | 2017-03-22 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-24 | 2017-03-22 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-24 | 2017-03-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-24 | 2017-03-22 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-24 | 2017-03-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-24 | 2017-03-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-24 | 2017-03-22 | N |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | Health | 2017-02-24 | 2017-03-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-24 | 2017-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-23 | 2017-03-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-23 | 2017-03-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-23 | 2017-03-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-02-23 | 2017-03-14 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-02-23 | 2017-03-14 | N |
