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Deficiency Records for St Johns Health Care Corporation
A list of the most recent deficiencies for St Johns Health Care Corporation. 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 Johns Health Care Corporation. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-13 | 2024-02-11 | Y |
| 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 | 2023-12-13 | 2024-02-11 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-13 | 2024-02-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-13 | 2024-02-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-13 | 2024-02-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-13 | 2024-02-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-13 | 2024-02-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-13 | 2024-02-11 | 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 | 2023-12-13 | 2024-02-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-13 | 2024-02-11 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-13 | 2024-02-11 | 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 | 2023-12-13 | 2024-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-13 | 2024-02-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-11-08 | 2022-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-08 | 2022-01-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-08 | 2022-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-08 | 2022-01-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-11-08 | 2022-01-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-08 | 2022-01-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-08 | 2022-01-07 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-11-08 | 2022-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-08 | 2022-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-16 | 2022-01-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-03 | 2019-06-01 | 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 | 2019-04-03 | 2019-06-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-03 | 2019-06-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-03 | 2019-05-30 | 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 | 2019-04-03 | 2019-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-03 | 2019-05-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-03 | 2019-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-03 | 2019-05-30 | N |
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