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ST CATHERINE HEALTHCARE AND REHABILITATION CENTER
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 12/14/2007 Health Survey for ST CATHERINE HEALTHCARE AND REHABILITATION CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Pattern | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
- 12/10/2007 Fire Safety Survey for ST CATHERINE HEALTHCARE AND REHABILITATION CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| weekly inspections and monthly testing of generators. | Isolated | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Pattern | Minimal harm or potential for actual harm |
- 06/26/2007 Fire Safety Survey for ST CATHERINE HEALTHCARE AND REHABILITATION CENTER
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Widespread | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| weekly inspections and monthly testing of generators. | Widespread | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Widespread | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Pattern | Minimal harm or potential for actual harm |
- 01/03/2007 Fire Safety Survey for ST CATHERINE HEALTHCARE AND REHABILITATION CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Widespread | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Widespread | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Widespread | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Widespread | Minimal harm or potential for actual harm |
| proper power supply for life support equipment. | Isolated | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Widespread | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| corridors or aisles that are unobstructed and are at least 8 feet in width. | Widespread | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Widespread | Potential for minimal harm |
| properly maintained smoke detectors. | Widespread | Potential for minimal harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Widespread | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Pattern | Potential for minimal harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| properly located and lighted Exit signs. | Widespread | Minimal harm or potential for actual harm |
| Laboratories | ||
| Deficiency | Scope | Level of Harm |
| emergency showers. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Potential for minimal harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | Pattern | Potential for minimal harm |
- 12/19/2006 Health Survey for ST CATHERINE HEALTHCARE AND REHABILITATION CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Keep safe, clean and homelike surroundings. | Pattern | Potential for minimal harm |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have 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. | Isolated | Minimal harm or potential for actual harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Actual harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Give enough notice to the resident before changing the resident's room or roommate. | Pattern | Potential for minimal harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm |
| Try to resolve each resident's complaints quickly. | Pattern | Potential for minimal harm |
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