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