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Deficiency Records for St Johnsville Rehabilitation and Nursing Center
A list of the most recent deficiencies for St Johnsville Rehabilitation and Nursing Center. 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 Johnsville Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-20 | 2023-02-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-20 | 2023-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2023-02-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-19 | 2022-09-17 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-07-19 | 2022-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-19 | 2022-09-17 | 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 | 2022-07-19 | 2022-09-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-19 | 2022-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-19 | 2022-09-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-19 | 2022-09-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-19 | 2022-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-22 | 2022-09-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-19 | 2022-09-07 | 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 | 2022-07-19 | 2022-09-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-22 | 2022-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-19 | 2022-09-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-19 | 2022-09-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-19 | 2022-08-24 | 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 | 2020-01-10 | 2020-03-10 | 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 | 2020-01-10 | 2020-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-10 | 2020-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-03-10 | 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 | 2020-01-10 | 2020-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-10 | 2020-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-10 | 2020-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-10 | 2020-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-10 | 2020-03-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-01-10 | 2020-03-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-10 | 2018-12-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-10 | 2018-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-10 | 2018-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-10 | 2018-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-10 | 2018-12-08 | 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 | 2018-10-10 | 2018-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-10 | 2018-12-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-10-10 | 2018-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-10 | 2018-12-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-10 | 2018-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-10 | Not Fixed | N |
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