CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St James Wellness Rehab Villas
View the most recent health deficiencies and inspection results for St James Wellness Rehab Villas. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St James Wellness Rehab Villas. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2025-03-21 | 2025-03-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-21 | 2025-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-21 | 2025-03-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-21 | 2025-03-24 | Y |
| 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 | 2025-01-31 | 2025-02-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-31 | 2025-02-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-06 | 2025-01-30 | 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 | 2025-01-07 | 2025-01-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-06 | 2025-01-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-06 | 2025-01-07 | 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 | 2024-12-06 | 2025-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-06 | 2025-01-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-06 | 2025-01-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-12-06 | 2025-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-06 | 2025-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-06 | 2025-01-02 | N |
| Keep all essential equipment working safely. | Health | 2024-12-06 | 2024-12-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Develop a communication plan. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-06 | 2024-12-30 | 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 | 2024-12-06 | 2024-12-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-06 | 2024-12-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-12-06 | 2024-12-30 | 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 | 2024-12-06 | 2024-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-06 | 2024-12-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-06 | 2024-12-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-12-06 | 2024-12-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-12 | 2024-12-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2024-12-13 | 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 | 2024-12-06 | 2024-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-06 | 2024-12-13 | 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 | 2024-12-06 | 2024-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-06 | 2024-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-12 | 2024-12-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-08 | 2024-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2024-01-05 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-17 | 2023-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-13 | 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 | 2023-11-17 | 2023-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-13 | 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 | 2023-11-17 | 2023-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-12-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-17 | 2023-12-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-17 | 2023-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-17 | 2023-12-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-17 | 2023-12-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-17 | 2023-12-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-17 | 2023-12-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-26 | 2023-07-12 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-16 | 2023-03-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-16 | 2023-03-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-16 | 2023-03-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-16 | 2023-03-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-16 | 2023-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-16 | 2023-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-03-23 | 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 | 2023-03-16 | 2023-03-23 | 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 | 2023-03-16 | 2023-03-23 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-03-16 | 2023-03-23 | N |