Deficiency Records for Villa St Joseph
Updated as of October 01, 2022
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-01 | 2022-05-24 | Y |
Use approved construction type or materials. | Fire Safety | 2021-08-11 | 2021-09-17 | 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 | 2021-08-11 | 2021-09-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-11 | 2021-09-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-11 | 2021-09-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-11 | 2021-09-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-11 | 2021-09-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-11 | 2021-09-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-11 | 2021-09-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-02 | 2021-08-27 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-02 | 2021-08-27 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-02 | 2021-08-27 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-02 | 2021-08-27 | Y |
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 | 2021-08-02 | 2021-08-27 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-12 | 2021-05-12 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-05-12 | 2021-05-12 | Y |
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 |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-12 | 2019-10-01 | 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 | 2019-09-12 | 2019-10-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-12 | 2019-10-01 | N |
Ensure proper usage of power strips and extension cords. | 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 |
Use approved construction type or materials. | Fire Safety | 2018-08-13 | 2018-09-20 | 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 | 2018-08-13 | 2018-09-20 | 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 | 2018-08-13 | 2018-09-20 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-13 | 2018-09-20 | 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 | 2018-08-13 | 2018-09-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-13 | 2018-09-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-13 | 2018-09-20 | N |