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Deficiency Records for St Josephs Home
A list of the most recent deficiencies for St Josephs Home. 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 Josephs Home. 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 | 2024-03-29 | 2024-05-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-29 | 2024-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-29 | 2024-05-27 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-03-29 | 2024-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-29 | 2024-05-27 | 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 | 2024-03-29 | 2024-05-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-29 | 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 | 2024-03-29 | 2024-05-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-29 | 2024-05-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-01-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-12-10 | 2022-01-30 | 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 | 2021-12-09 | 2022-01-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-09 | 2022-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-06-05 | 2019-07-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-06-05 | 2019-07-23 | N |
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