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Deficiency Records for St Joseph's Center

A list of the most recent deficiencies for St Joseph's Center. 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 St Joseph's Center. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-21 2024-04-19 Y
Respond appropriately to all alleged violations. Health 2023-12-11 2024-01-19 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 2023-12-11 2024-01-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-25 2023-10-27 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-10 2023-08-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-23 2023-05-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-23 2023-05-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-23 2023-05-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-07 2023-03-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-07 2023-03-20 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-02-07 2023-03-20 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-10-19 2022-12-08 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-10-19 2022-12-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-19 2022-12-08 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-08-03 2022-09-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-03 2022-09-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-03 2022-09-30 N
Meet other general requirements that are deficient. Fire Safety 2022-08-03 2022-09-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-08-03 2022-09-30 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-08-03 2022-09-30 N
Provide a written emergency evacuation plan. Fire Safety 2022-08-03 2022-09-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-03 2022-09-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-03 2022-09-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-08-03 2022-09-30 N
Have proper medical gas storage and administration areas. Fire Safety 2022-08-03 2022-09-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-09 2022-09-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-09 2022-09-19 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-08-09 2022-09-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-09 2022-09-19 N
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. Health 2022-08-09 2022-09-19 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-08-09 2022-09-19 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 2022-08-09 2022-09-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-09 2022-09-19 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-08-09 2022-09-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-13 2022-07-29 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-07-13 2022-07-29 Y
Ensure that residents are free from significant medication errors. Health 2022-07-13 2022-07-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-13 2022-07-29 Y
Provide and implement an infection prevention and control program. Health 2022-07-13 2022-07-29 Y
Meet requirements for the use of electrical equipment. Fire Safety 2020-01-08 2021-06-03 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2020-01-08 2021-03-19 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2020-01-08 2021-03-19 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2020-01-08 2021-03-19 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-09 2020-02-20 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 2020-01-09 2020-02-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-09 2020-02-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-09 2020-02-20 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 2020-01-09 2020-02-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-01-09 2020-02-20 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-10-31 2018-12-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-11-05 2018-12-12 N
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. Health 2018-11-05 2018-12-12 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2018-11-05 2018-12-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-11-05 2018-12-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-11-05 2018-12-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-11-05 2018-12-12 N
Provide enough food/fluids to maintain a resident's health. Health 2018-11-05 2018-12-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-11-05 2018-12-12 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2018-11-05 2018-12-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-05 2018-12-12 N
Dispose of garbage and refuse properly. Health 2018-11-05 2018-12-12 N
Provide and implement an infection prevention and control program. Health 2018-11-05 2018-12-12 N
Keep all essential equipment working safely. Health 2018-11-05 2018-12-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-11-05 2018-12-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-10-31 2018-12-12 N

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