CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St. John of God Retirement
View the most recent health deficiencies and inspection results for St. John of God Retirement. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St. John of God Retirement. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-24 | 2026-03-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-15 | 2026-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-15 | 2026-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-15 | 2026-01-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-05 | 2025-12-26 | 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 | 2025-12-05 | 2025-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-05 | 2025-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-05 | 2025-12-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-05 | 2025-12-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-05 | 2025-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-05 | 2025-12-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-12-05 | 2025-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-05 | 2025-12-26 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-12-05 | 2025-12-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-05 | 2025-12-26 | 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 | 2025-12-05 | 2025-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2025-12-26 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-12-05 | 2025-12-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-05 | 2025-12-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-12-05 | 2025-12-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-12-05 | 2025-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2025-12-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-12-05 | 2025-12-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-05 | 2025-12-26 | 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 | 2025-12-05 | 2025-12-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-05 | 2025-12-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-13 | 2025-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-21 | 2025-03-12 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-10-04 | 2024-10-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-10-04 | 2024-10-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-04 | 2024-10-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-10-04 | 2024-10-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-04 | 2024-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-04 | 2024-10-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-04 | 2024-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide activities to meet all resident's needs. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-10-04 | 2024-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-04 | 2024-10-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-04 | 2024-10-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-10-04 | 2024-10-25 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-10-04 | 2024-10-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-10-04 | 2024-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-04 | 2024-10-25 | 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 | 2024-10-04 | 2024-10-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-04 | 2024-10-24 | 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 | 2024-10-04 | 2024-10-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-04 | 2024-10-24 | 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 | 2024-10-04 | 2024-10-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-10-04 | 2024-10-24 | N |
| Post nurse staffing information every day. | Health | 2024-08-19 | 2024-08-29 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-22 | 2024-08-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-03 | 2024-07-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-12 | 2024-07-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-12 | 2024-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-22 | 2024-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-22 | 2024-06-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-26 | 2024-05-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-15 | 2024-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-16 | 2024-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-05 | 2024-01-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-20 | 2024-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2024-01-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-01-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-02 | 2023-10-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-02 | 2023-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-02 | 2023-10-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-02 | 2023-10-26 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-02 | 2023-10-26 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-02 | 2023-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-02 | 2023-10-26 | 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 | 2023-10-02 | 2023-10-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-02 | 2023-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-02 | 2023-10-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-02 | 2023-10-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-02 | 2023-10-26 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-10-02 | 2023-10-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-02 | 2023-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-24 | 2023-09-13 | Y |