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Deficiency Records for St Joseph of Harahan
A list of the most recent deficiencies for St Joseph of Harahan. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for St Joseph of Harahan. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-03 | 2024-08-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-08-02 | Y |
| 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 | 2024-05-16 | 2024-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-21 | Y |
| 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 | 2024-03-13 | 2024-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-26 | 2024-05-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-13 | 2024-04-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-03-13 | 2024-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-13 | 2024-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-19 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-13 | 2024-04-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-13 | 2024-04-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-13 | 2024-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-13 | 2024-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-13 | 2024-04-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-13 | 2024-04-19 | N |
| Post nurse staffing information every day. | Health | 2024-03-13 | 2024-04-19 | 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 | 2024-03-13 | 2024-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-13 | 2024-04-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-04-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-13 | 2024-04-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-13 | 2024-04-19 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-13 | 2024-04-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-13 | 2024-04-19 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-12 | 2024-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-12 | 2024-03-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-05 | 2024-03-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-30 | 2023-10-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-30 | 2023-10-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-30 | 2023-10-11 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-30 | 2023-10-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-30 | 2023-10-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-10-11 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-05-18 | 2023-06-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-18 | 2023-06-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-18 | 2023-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-18 | 2023-06-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-18 | 2023-06-23 | 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 | 2023-05-18 | 2023-06-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-23 | Y |
| 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 | 2023-05-15 | 2023-06-23 | 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 | 2023-05-15 | 2023-06-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-15 | 2023-06-23 | 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 | 2023-05-15 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| 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 | 2023-04-05 | 2023-05-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-26 | 2023-05-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-05 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-11-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-27 | 2022-11-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-20 | 2022-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-09-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-16 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-18 | 2022-07-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-31 | 2022-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-04-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-31 | 2022-04-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-31 | 2022-04-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-31 | 2022-04-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-31 | 2022-04-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-03-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-04 | 2022-03-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-04 | 2022-03-21 | Y |
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