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Deficiency Records for St Joseph Chateau
A list of the most recent deficiencies for St Joseph Chateau. 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 Chateau. 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 | 2024-04-05 | 2024-05-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-05 | 2024-05-20 | 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 | 2024-04-05 | 2024-05-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-05 | 2024-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-05 | 2024-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-05 | 2024-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-05 | 2024-05-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-05 | 2024-05-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-05 | 2024-05-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-05 | 2024-05-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-05 | 2024-05-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-05 | 2024-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-05-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-05 | 2024-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-05-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-05 | 2024-05-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-05 | 2024-05-20 | N |
| Provide immediate access to any resident. | Health | 2023-12-19 | 2024-02-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-19 | 2024-01-11 | Y |
| 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 | 2023-12-19 | 2024-01-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-19 | 2024-01-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-05 | 2023-10-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-05 | 2023-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-01 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-05-25 | 2023-06-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-25 | 2023-06-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-26 | 2023-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-01 | 2023-03-09 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-12-21 | 2023-01-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-29 | 2022-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-29 | 2022-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-29 | 2022-06-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-29 | 2022-06-28 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-04-29 | 2022-06-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-04-29 | 2022-06-28 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-29 | 2022-06-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-29 | 2022-06-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-29 | 2022-06-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-29 | 2022-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-29 | 2022-06-28 | N |
| Post nurse staffing information every day. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-29 | 2022-06-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-29 | 2022-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-29 | 2022-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-06-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
| 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 | 2021-12-03 | 2022-01-28 | Y |
| 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 | 2019-08-22 | 2019-11-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-22 | 2019-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-22 | 2019-11-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-22 | 2019-10-04 | 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 | 2019-08-22 | 2019-10-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-10-04 | 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 | 2019-08-22 | 2019-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-22 | 2019-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-22 | 2019-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-10-04 | N |
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