Deficiency Records for Villa St Joseph
Updated as of March 01, 2020
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? |
|---|---|---|---|---|
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-29 | 2019-11-25 | 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 | 2019-10-29 | 2019-11-25 | 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 | 2019-10-29 | 2019-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-29 | 2019-11-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-29 | 2019-11-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-29 | 2019-11-25 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
| 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 |
| 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 |
