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Deficiency Records for Saint John Paul Ii Center
View the most recent health deficiencies and inspection results for Saint John Paul Ii Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Saint John Paul Ii Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-03-27 | 2026-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-02 | 2025-10-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-16 | 2025-10-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-10-16 | 2025-10-05 | Y |
| 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 | 2025-05-13 | 2025-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-13 | 2025-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-13 | 2025-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-13 | 2025-06-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-13 | 2025-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-13 | 2025-06-23 | 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 | 2025-05-13 | 2025-06-23 | 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 | 2025-05-13 | 2025-06-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-13 | 2025-06-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-13 | 2025-06-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-13 | 2025-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-13 | 2025-06-06 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-04-04 | 2025-05-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-26 | 2025-02-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-26 | 2025-02-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-31 | 2024-12-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-31 | 2024-12-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-08 | 2024-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-08 | 2024-04-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-08 | 2024-04-19 | 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 | 2023-05-17 | 2023-06-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-17 | 2023-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-17 | 2023-06-23 | 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 | 2023-05-17 | 2023-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-17 | 2023-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-17 | 2023-06-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-17 | 2023-06-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-17 | 2023-06-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-17 | 2023-06-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-17 | 2023-06-23 | N |
| Post nurse staffing information every day. | Health | 2023-05-17 | 2023-06-23 | 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 | 2023-05-17 | 2023-06-23 | 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 | 2023-05-17 | 2023-06-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-17 | 2023-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-17 | 2023-06-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-17 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-17 | 2023-06-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-17 | 2023-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-17 | 2023-06-23 | 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 | 2023-05-17 | 2023-06-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-17 | 2023-06-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-17 | 2023-06-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-17 | 2023-06-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-17 | 2023-06-21 | 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 | 2023-05-17 | 2023-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-17 | 2023-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-26 | 2021-04-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-01-26 | 2021-04-16 | 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 | 2021-01-26 | 2021-03-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-01-26 | 2021-03-04 | N |
| Report COVID19 data to residents and families. | Health | 2021-01-26 | 2021-03-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-21 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-21 | Not Fixed | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-21 | Not Fixed | Y |