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Deficiency Records for Ascension Saint Joseph Village

A list of the most recent deficiencies for Ascension Saint Joseph Village. 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 Ascension Saint Joseph Village. 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-01 2024-08-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-01 2024-08-09 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-05-21 2024-06-04 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-04-23 2024-05-01 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-03-05 2024-03-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-08 2024-03-13 N
Have proper medical gas storage and administration areas. Fire Safety 2024-03-05 2024-03-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-03-05 2024-03-08 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-03-05 2024-03-08 N
Install proper backup exit lighting. Fire Safety 2024-03-05 2024-03-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-03-05 2024-03-08 N
Provide properly protected cooking facilities. Fire Safety 2024-03-05 2024-03-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-05 2024-03-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-05 2024-03-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-08 2024-03-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-08 2024-03-04 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-02-08 2024-03-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-08 2024-03-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-08 2024-03-04 N
Provide and implement an infection prevention and control program. Health 2024-02-08 2024-03-04 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-02-08 2024-03-04 Y
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. Health 2023-11-09 2023-11-23 Y
Respond appropriately to all alleged violations. Health 2023-11-01 2023-11-20 Y
Ensure that residents are free from significant medication errors. Health 2023-10-10 2023-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-06 2023-07-31 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-05-10 2023-06-06 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-04-11 2023-04-26 N
Install an approved automatic sprinkler system. Fire Safety 2023-04-11 2023-04-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-04-11 2023-04-26 N
Ensure proper storage of liquid oxygen. Fire Safety 2023-04-11 2023-04-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-29 2023-04-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-29 2023-04-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-29 2023-04-22 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-03-29 2023-04-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-29 2023-04-22 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-29 2023-04-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-29 2023-04-22 N
Provide and implement an infection prevention and control program. Health 2023-03-29 2023-04-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-22 2023-04-10 Y
Ensure that residents are free from significant medication errors. Health 2023-03-22 2023-04-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-09 2023-04-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-17 2023-02-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-17 2023-02-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-17 2023-02-06 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-01-17 2023-02-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-06 2022-10-07 Y
Create arrangements with other facilities to receive patients. Fire Safety 2022-02-24 2022-03-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-16 2022-03-09 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-16 2022-03-04 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-16 2022-03-04 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-02-16 2022-03-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-16 2022-03-04 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 2022-02-16 2022-03-04 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-16 2022-03-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-16 2022-03-04 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-02-16 2022-03-04 N
Provide properly protected cooking facilities. Fire Safety 2022-02-24 2022-03-03 N
Ensure operating rooms are properly protected and written records are maintained and available for inspection. Fire Safety 2022-02-24 2022-02-28 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-02-24 2022-02-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-02-24 2022-02-25 N
Have exits that are accessible at all times. Fire Safety 2022-02-24 2022-02-24 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-02-24 2022-02-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-11 2022-01-28 Y

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