The health and social services watchdog has said a nursing home in Co Mayo breached the terms of its registration by accommodating residents upstairs.

This raised serious concerns about their safe evacuation if a fire broke out.

Health Information and Quality Authority inspectors also found that St Anne's Private Nursing Home in Charlestown had too few staff and that the workforce lacked an adequate mix of skills.

The HIQA report is based on an unannounced 11-hour-long inspection of St Anne's early last month.

It states that all 28 beds were occupied when inspectors called to follow up on actions ordered by HIQA following two similar inspections months earlier.

A June inspection had found significant non-compliance with   registration requirements relating to risk and hazard identification, fire safety, medication management, the safe storage of medications, healthcare plans and the part-time engagement of the person in charge.

Then, last September, inspectors ordered immediate corrective action after discovering that medications had not been given as prescribed, with some residents deprived of their medicines for a number of days.

Early last month inspectors found that Kathleen Smyth, the registered provider, had breached her registration terms by accommodating residents upstairs, prompting serious concerns about safe evacuation if a fire broke out.

The report says inspectors ordered immediate corrective action on a total of five issues and that the person in charge ensured that the residents concerned were moved downstairs.

The inspectors also found that the centre had too few staff and that the workforce lacked an adequate mix of skills, matters that were also the subject of HIQA's five-point immediate action plan.