Deficiency Records for Villa St Joseph
Updated as of April 01, 2019
This is not the most recent data for Villa St Joseph. For the most recent information, click here.
A list of the most recent deficiencies for Villa St Joseph. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-20 | 2018-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-20 | 2018-10-20 | 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 | 2018-09-20 | 2018-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-10-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-20 | 2018-10-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-20 | 2018-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-20 | 2018-10-20 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-09-20 | 2018-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-20 | 2018-10-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-13 | 2018-09-20 | 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 | 2017-12-27 | 2018-02-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2017-12-27 | 2018-02-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2017-12-27 | 2018-02-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-16 | 2017-12-08 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-11-16 | 2017-12-08 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-07-26 | 2017-08-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-26 | 2017-08-25 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-26 | 2017-08-25 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-26 | 2017-08-25 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-26 | 2017-08-25 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-26 | 2017-08-25 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-07-26 | 2017-08-25 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-26 | 2017-08-25 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-26 | 2017-08-25 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-26 | 2017-08-25 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-26 | 2017-08-25 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-09 | 2016-01-07 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-12-09 | 2016-01-07 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2015-12-09 | 2016-01-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-12-09 | 2016-01-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-12-09 | 2016-01-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-12-09 | 2016-01-07 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-12-09 | 2016-01-07 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-12-09 | 2016-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-09 | 2016-01-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-09 | 2016-01-07 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-12-09 | 2016-01-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-12-09 | 2016-01-07 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-12-09 | 2016-01-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-12-09 | 2016-01-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-09 | 2016-01-07 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-12-09 | 2016-01-07 | N |
