Saint Helens Post Acute

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Rule F0640. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Provide activities to meet all resident’s needs.

Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Rule F0698. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Rule F0741. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jun 1, 2026.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

Provide safe, appropriate pain management for a resident who requires such services.

Rule F0697. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

Provide or get specialized rehabilitative services as required for a resident.

Rule F0825. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 21, 2026.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 21, 2026.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 21, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2026.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 7, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2025.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Rule F0577. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Provide or obtain dental services for each resident.

Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Rule F0838. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Rule F0847. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

Rule F0887. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 28, 2025.

Protect each resident from the wrongful use of the resident’s belongings or money.

Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 13, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 13, 2024.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 18, 2024.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 18, 2024.