Deficiency Records for S.P.J.S.T. Rest Home 3

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Updated as of May 01, 2024

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Deficiency Records for S.P.J.S.T. Rest Home 3

A list of the most recent deficiencies for S.P.J.S.T. Rest Home 3. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for S.P.J.S.T. Rest Home 3. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-22 2023-06-30 N
Dispose of garbage and refuse properly. Health 2023-06-22 2023-06-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-22 2023-06-30 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-06-22 2023-06-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-02 2023-02-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-01 2022-07-11 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 2022-05-12 2022-05-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-05-12 2022-05-31 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-05-12 2022-05-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-12 2022-05-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-12 2022-05-15 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2022-05-12 2022-05-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-06 2022-04-14 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2020-02-06 2020-03-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-06 2020-03-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-06 2020-02-29 N
Provide activities to meet all resident's needs. Health 2020-02-06 2020-02-29 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2020-02-06 2020-02-28 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 2020-02-06 2020-02-21 N
Provide and implement an infection prevention and control program. Health 2020-02-06 2020-02-21 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-02-06 2020-02-15 N
Provide properly protected cooking facilities. Fire Safety 2020-02-06 2020-02-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-02-06 2020-02-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-06 2020-02-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-02-06 2020-02-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-06 2020-02-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-06 2020-02-07 N
Provide and implement an infection prevention and control program. Health 2021-09-02 Not Fixed Y

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