Deficiency Records for St Joseph's, A Villa Center
Updated as of April 01, 2020
This is not the most recent data for St Joseph's, A Villa Center. For the most recent information, click here.
A list of the most recent deficiencies for St Joseph's, A Villa 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? |
---|---|---|---|---|
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-14 | 2019-11-01 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-14 | 2019-08-30 | Y |
Develop a communication plan. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-24 | 2019-07-16 | 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 | 2019-06-24 | 2019-07-16 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2019-06-24 | 2019-07-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-25 | 2019-07-16 | 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 | 2019-06-25 | 2019-07-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-25 | 2019-07-16 | N |
Provide activities to meet all resident's needs. | Health | 2019-06-25 | 2019-07-16 | 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 | 2019-06-25 | 2019-07-16 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-06-25 | 2019-07-16 | 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 | 2019-06-25 | 2019-07-16 | 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 | 2019-06-25 | 2019-07-16 | N |
Provide or obtain dental services for each resident. | Health | 2019-06-25 | 2019-07-16 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-25 | 2019-07-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-25 | 2019-07-16 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-25 | 2019-07-16 | N |
Implement a program that monitors antibiotic use. | Health | 2019-06-25 | 2019-07-16 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-25 | 2019-07-16 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-25 | 2019-07-16 | Y |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-26 | 2018-08-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-26 | 2018-08-24 | 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 | 2018-07-26 | 2018-08-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-08-24 | 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 | 2018-07-26 | 2018-08-24 | 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 | 2018-07-26 | 2018-08-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-08-24 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-26 | 2018-08-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-26 | 2018-08-24 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-26 | 2018-08-24 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-26 | 2018-08-24 | 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 | 2018-07-26 | 2018-08-24 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-26 | 2018-08-24 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-01-04 | 2018-01-19 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-04 | 2018-01-19 | Y |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-12 | 2017-11-01 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-12 | 2017-11-01 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-12 | 2017-11-01 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-26 | 2017-08-16 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-26 | 2017-08-16 | Y |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-05-23 | 2017-06-12 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-05-23 | 2017-06-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-23 | 2017-06-12 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-23 | 2017-06-12 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-23 | 2017-06-12 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-05-23 | 2017-06-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-23 | 2017-06-12 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-23 | 2017-06-12 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-23 | 2017-06-12 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-23 | 2017-06-12 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-23 | 2017-06-12 | N |
Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-05-23 | 2017-06-12 | N |
Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-05-23 | 2017-06-12 | N |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-05-23 | 2017-06-12 | Y |