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Deficiency Records for Advanced Care of St Joseph
A list of the most recent deficiencies for Advanced Care of St Joseph. 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 Advanced Care of St Joseph. 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? |
|---|---|---|---|---|
| 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 | 2024-06-25 | 2024-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-25 | 2024-08-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-07-03 | 2024-07-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-03 | 2024-07-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-20 | 2024-07-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-20 | 2024-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-20 | 2024-07-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-20 | 2024-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-20 | 2024-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-20 | 2024-07-23 | N |
| Post nurse staffing information every day. | Health | 2024-06-20 | 2024-07-23 | 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 | 2024-06-20 | 2024-07-23 | 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 | 2024-06-20 | 2024-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-20 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-20 | 2024-07-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-20 | 2024-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-06 | 2024-05-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-15 | 2024-03-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-15 | 2024-03-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-11 | 2024-03-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-03-18 | Y |
| 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 | 2024-01-11 | 2024-03-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-11 | 2024-01-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-01-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-11 | 2024-01-11 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-05-25 | 2023-06-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-25 | 2023-06-30 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-12-22 | 2023-01-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-22 | 2023-01-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-06 | 2023-01-20 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-02-28 | 2022-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-28 | 2022-04-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-28 | 2022-04-01 | 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 | 2022-02-28 | 2022-04-01 | 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 | 2022-02-28 | 2022-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-28 | 2022-04-01 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-12-03 | 2022-02-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-18 | 2020-03-23 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-02-18 | 2020-03-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-18 | 2020-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-18 | 2020-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-18 | 2020-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-18 | 2020-03-23 | 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 | 2020-02-18 | 2020-03-23 | 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 | 2020-02-18 | 2020-03-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-18 | 2020-03-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-18 | 2020-03-23 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2020-02-18 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-18 | 2020-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-18 | 2020-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-18 | 2020-03-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-18 | 2020-03-23 | N |
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