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Deficiency Records for St Joseph's, A Villa Center

A list of the most recent deficiencies for St Joseph's, A Villa 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, A Villa 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-11-29 2023-12-15 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-11-29 2023-12-15 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-11-29 2023-12-15 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 2023-11-29 2023-12-15 Y
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2023-11-27 2023-12-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-27 2023-12-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-27 2023-12-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-27 2023-12-15 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 2022-09-13 2022-10-05 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-09-13 2022-10-05 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 2022-09-13 2022-10-05 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 2022-09-13 2022-10-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-13 2022-10-05 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-09-13 2022-10-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-13 2022-10-05 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-13 2022-10-05 Y
Provide and implement an infection prevention and control program. Health 2022-09-13 2022-10-05 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-12 2022-10-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-29 2022-05-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-05-26 2021-06-25 N
Keep residents' personal and medical records private and confidential. Health 2021-05-26 2021-06-25 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-26 2021-06-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-26 2021-06-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-26 2021-06-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-05-26 2021-06-25 N
Observe each nurse aide's job performance and give regular training. Health 2021-05-26 2021-06-25 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-05-26 2021-06-25 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 2021-05-26 2021-06-25 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2021-05-26 2021-06-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-26 2021-06-25 N
Provide and implement an infection prevention and control program. Health 2021-05-26 2021-06-25 N
Implement a program that monitors antibiotic use. Health 2021-05-26 2021-06-25 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-05-26 2021-06-25 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-05-26 2021-06-25 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-05-26 2021-06-25 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 2021-05-26 2021-06-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-26 2021-06-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-05-26 2021-06-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-05-26 2021-06-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-26 2021-06-25 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-26 2021-06-25 N

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