Deficiency Records for St Joseph's, A Villa Center
Updated as of September 01, 2016
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? |
|---|---|---|---|---|
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-15 | 2016-08-15 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-15 | 2016-05-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-15 | 2016-05-12 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-04-15 | 2016-05-12 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-15 | 2016-05-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-15 | 2016-05-12 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-15 | 2016-05-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-03-03 | 2016-04-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-03-03 | 2016-04-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-03 | 2016-04-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-03 | 2016-04-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-03 | 2016-04-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-03 | 2016-04-01 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-03-03 | 2016-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-03 | 2016-04-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-03 | 2016-04-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-03 | 2016-04-01 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-03 | 2016-04-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-03 | 2016-04-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-03 | 2016-04-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-03 | 2016-04-01 | N |
| Keep all essential equipment working safely. | Health | 2016-03-03 | 2016-04-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-03-03 | 2016-04-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-03 | 2016-04-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-15 | 2016-02-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-25 | 2015-07-24 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-06-25 | 2015-07-24 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-25 | 2015-07-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-06-02 | 2015-06-26 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-04-09 | 2015-05-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-04-09 | 2015-05-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-04-09 | 2015-05-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-06 | 2015-05-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-06 | 2015-05-15 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-04-06 | 2015-05-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-04-06 | 2015-05-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-06 | 2015-05-15 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-03-10 | 2015-03-27 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-10 | 2015-03-27 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-04-10 | 2014-04-23 | Y |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2014-03-21 | 2014-04-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-21 | 2014-04-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-03-21 | 2014-04-23 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2014-03-21 | 2014-04-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-03-21 | 2014-04-23 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-03-20 | 2014-04-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-03-20 | 2014-04-23 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-03-20 | 2014-04-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-03-20 | 2014-04-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-03-20 | 2014-04-23 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-01-22 | 2014-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-01-22 | 2014-01-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-09-13 | 2013-10-18 | Y |
