Deficiency Records for St Joseph Rehab and Nursing Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Joseph Rehab and Nursing 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? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2023-05-24 | 2023-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-07 | 2023-04-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-07 | 2023-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-07 | 2023-04-04 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-16 | 2023-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-16 | 2023-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-16 | 2023-03-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-16 | 2023-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-16 | 2023-03-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-28 | 2023-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-28 | 2023-01-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-28 | 2023-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-28 | 2023-01-31 | 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 | 2022-12-28 | 2023-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-28 | 2023-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-07 | 2021-07-21 | 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 | 2021-06-23 | 2021-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-07 | 2021-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-07 | 2021-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-07 | 2021-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-07 | 2021-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-07 | 2021-07-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-07 | 2021-07-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-07 | 2021-07-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-04-29 | 2019-06-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-04-29 | 2019-06-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-04-29 | 2019-06-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-29 | 2019-06-05 | 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 | 2019-04-29 | 2019-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-29 | 2019-06-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-19 | 2019-04-19 | 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 | 2019-03-19 | 2019-04-19 | N |
