Deficiency Records for Mount Joseph Senior Village LLC
Updated as of October 01, 2020
This is not the most recent data for Mount Joseph Senior Village LLC. For the most recent information, click here.
A list of the most recent deficiencies for Mount Joseph Senior Village LLC. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2019-10-08 | 2019-10-31 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-18 | 2019-08-19 | 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 | 2019-07-18 | 2019-08-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-07-18 | 2019-08-19 | 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 | 2019-07-18 | 2019-08-19 | 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 | 2019-07-18 | 2019-08-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-02 | 2019-04-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-04-02 | 2019-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-14 | 2019-03-22 | 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 | 2019-02-14 | 2019-03-22 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-18 | 2018-10-15 | 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 | 2018-09-18 | 2018-10-15 | 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 | 2018-09-18 | 2018-10-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-02 | 2018-03-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-02 | 2018-03-30 | N |
| Develop a communication plan. | Fire Safety | 2018-03-02 | 2018-03-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-02 | 2018-03-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-28 | 2017-03-10 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-28 | 2017-03-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-28 | 2017-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-28 | 2017-03-10 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-02-28 | 2017-03-10 | 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 | 2017-02-28 | 2017-03-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-28 | 2017-03-10 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-28 | 2017-03-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-28 | 2017-03-10 | N |
| Dispose of garbage and refuse properly. | Health | 2017-02-28 | 2017-03-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-28 | 2017-03-10 | N |
