[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-252902-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-252902-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","centers-for-medicare-medicaid-services-statement-of-deficiencies-and-plan-of-correction","Centers for Medicare & Medicaid Services Statement of Deficiencies and Plan of Correction","","This document is a Centers for Medicare & Medicaid Services (CMS) Statement of Deficiencies and Plan of Correction (POC) for Cerenity Marian of St Paul LLC, located at 209 Earl Street, Saint Paul, MN 55106. The report details deficiencies found during an on-site survey conducted from August 8 through August 16, 2024. Specifically, the survey was conducted by surveyors from the Minnesota Department of Health (MDH). The facility was cited for not complying with specific requirements of the Code of Federal Regulations (CFR), particularly 42 CFR Part 483, Subpart B, requirements for Long Term Care Facilities. The report outlines the findings of a standard survey and an Immediate Jeopardy (IJ) investigation, which concluded on August 16, 2024. The IJ condition stemmed from circumstances involving a patient's transfer using a mechanical lift, resulting in a hip fracture. The facility's administration and director of nursing were notified of the IJ on August 15, 2024. The document also includes a review of complaints and the facility's POC, which requires the facility to correct the identified deficiencies and comply with federal regulations for resident care and safety.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/centers-for-medicare-medicaid-services-statement-of-deficiencies-and-plan-of-correction/252902/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/centers-for-medicare-medicaid-services-statement-of-deficiencies-and-plan-of-correction/252902.png","ImageObject",442,249,{"name":42,"@type":43},"Theodore","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-28","2026-09-13",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of this document?","Question",{"text":63,"@type":64},"This document is a Statement of Deficiencies and Plan of Correction (POC) issued by the Centers for Medicare & Medicaid Services (CMS) to detail violations found during a healthcare facility survey and outline the facility's plan to correct them.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which facility is this document related to?",{"text":68,"@type":64},"This document is related to Cerenity Marian of St Paul LLC, located at 209 Earl Street, Saint Paul, MN 55106.",{"name":70,"@type":61,"acceptedAnswer":71},"What was the immediate cause for the Immediate Jeopardy (IJ) citation?",{"text":72,"@type":64},"The Immediate Jeopardy (IJ) stemmed from a situation where a resident, R1, was being transferred using a sit-to-stand mechanical lift and sustained a hip fracture.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},252902,1791620448,{"code":4,"msg":82,"data":83},"success",[84,89,93,98,103,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":11,"file_id":130,"file_url":131,"file_type":132,"file_size":133,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":134,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":140},7971461740886,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","cbCailT7m3BWEmRe","https://ap.wps.com/l/cbCailT7m3BWEmRe","pdf",17898841,54,"English","# Statement of Deficiencies and Plan of Correction\n## Name of Provider or Supplier\n## Summary Statement of Deficiencies\n## Initial Comments\n## The Quality of Care and an Extended Survey\n## Complaints Reviewed\n## The Facility's Plan of Correction (POC)\n## Electronically Signed","[{\"question\":\"What is the purpose of this document?\",\"answer\":\"This document is a Statement of Deficiencies and Plan of Correction (POC) issued by the Centers for Medicare \\u0026 Medicaid Services (CMS) to detail violations found during a healthcare facility survey and outline the facility's plan to correct them.\"},{\"question\":\"Which facility is this document related to?\",\"answer\":\"This document is related to Cerenity Marian of St Paul LLC, located at 209 Earl Street, Saint Paul, MN 55106.\"},{\"question\":\"What was the immediate cause for the Immediate Jeopardy (IJ) citation?\",\"answer\":\"The Immediate Jeopardy (IJ) stemmed from a situation where a resident, R1, was being transferred using a sit-to-stand mechanical lift and sustained a hip fracture.\"}]","Centers for Medicare & Medicaid Services Statement of Deficiencies and Plan of Correction | PDF",1789263364,19]