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Deficiency Records for Saint John Xxiii Home

A list of the most recent deficiencies for Saint John Xxiii 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 Saint John Xxiii 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?
Meet other general requirements. Fire Safety 2024-04-25 2024-06-01 N
Meet other general requirements. Fire Safety 2024-04-25 2024-06-01 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-04-25 2024-06-01 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-04-25 2024-06-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-25 2024-06-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-04-25 2024-06-01 N
Have power receptacles that are properly grounded. Fire Safety 2024-04-25 2024-06-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-25 2024-06-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-04-25 2024-06-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-25 2024-05-23 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-05-04 2023-05-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-10 2023-05-22 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-06-03 2022-07-22 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-06-03 2022-07-22 N
Have power receptacles that are properly grounded. Fire Safety 2022-06-07 2022-06-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-07 2022-06-24 N

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