Deficiency Records for St Joseph's, A Villa Center
Updated as of September 01, 2018
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? |
---|---|---|---|---|
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 pressure ulcer care and prevent new ulcers from developing. | 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 |
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 | 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 |
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 | 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 |
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 |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-24 | 2017-02-17 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-28 | 2016-10-17 | Y |
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 |