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Deficiency Records for St Joseph's Hospital - Skilled Nursing Facility
A list of the most recent deficiencies for St Joseph's Hospital - Skilled Nursing Facility. 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 Hospital - Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-26 | 2024-09-15 | N |
| Post nurse staffing information every day. | Health | 2024-07-26 | 2024-09-15 | N |
| 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 | 2024-07-26 | 2024-09-15 | N |
| Develop a communication plan. | Fire Safety | 2024-07-26 | 2024-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-26 | 2024-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-26 | 2024-09-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-01 | 2022-05-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-01 | 2022-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-01 | 2022-05-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-01 | 2022-05-30 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-24 | 2020-04-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-24 | 2020-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-24 | 2020-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-04-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Develop a communication plan. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
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