A list of the most recent deficiencies for St Joseph Continuing Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-13 | 2023-10-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-13 | 2023-10-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-13 | 2023-10-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-13 | 2023-10-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-10-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-13 | 2023-10-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-13 | 2023-10-26 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-13 | 2023-10-26 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-09-13 | 2023-10-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-13 | 2023-10-26 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2023-09-12 | 2023-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-10-09 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-09-12 | 2023-10-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-17 | 2023-06-29 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-01-31 | 2023-02-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-19 | 2022-12-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-19 | 2022-12-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-19 | 2022-12-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-19 | 2022-12-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-19 | 2022-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-19 | 2022-12-03 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-10-19 | 2022-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-12-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-19 | 2022-12-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-19 | 2022-12-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-19 | 2022-12-03 | 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 | 2022-10-19 | 2022-12-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-19 | 2022-12-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-19 | 2022-12-03 | 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 | 2022-10-19 | 2022-12-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-19 | 2022-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-19 | 2022-12-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-24 | 2022-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-24 | 2022-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2022-01-07 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-11-12 | 2022-01-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-06-25 | 2021-07-31 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2022-10-18 | Not Fixed | N |
