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Deficiency Records for St Joseph Villa
A list of the most recent deficiencies for St Joseph Villa. 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 Villa. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-16 | 2024-09-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-16 | 2024-09-06 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-16 | 2024-09-06 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-07-16 | 2024-09-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-16 | 2024-09-06 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-16 | 2024-07-18 | 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 | 2024-07-16 | 2024-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-07-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-16 | 2024-07-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-07-16 | 2024-07-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-16 | 2024-07-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-01 | 2022-10-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-09-01 | 2022-10-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-10-17 | 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 | 2022-08-30 | 2022-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-09-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-04 | 2020-03-29 | N |
| 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 | 2020-03-04 | 2020-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-03-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-04 | 2020-03-18 | 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 | 2020-03-04 | 2020-03-18 | 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 | 2020-03-04 | 2020-03-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
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