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Deficiency Records for St Joe Manor
A list of the most recent deficiencies for St Joe Manor. 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 Joe Manor. 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 receives an accurate assessment. | Health | 2025-02-13 | 2025-03-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-13 | 2025-03-30 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-13 | 2025-03-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-13 | 2025-03-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-13 | 2025-03-30 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-13 | 2025-03-30 | N |
Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-30 | 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 | 2025-02-13 | 2025-03-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-13 | 2025-03-30 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2025-02-13 | 2025-03-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-13 | 2025-03-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-13 | 2025-03-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-13 | 2025-03-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2025-02-13 | 2025-03-30 | N |
Provide and implement an infection prevention and control program. | Health | 2024-11-26 | 2025-01-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-20 | 2024-10-04 | 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 | 2024-01-11 | 2024-03-06 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-01-11 | 2024-03-06 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-11 | 2024-03-06 | 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 | 2024-01-11 | 2024-03-06 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-03-06 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-11 | 2024-03-06 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-11 | 2024-03-06 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-01-11 | 2024-03-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-03-06 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-03-06 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-11 | 2024-03-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-11 | 2024-03-06 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-12-20 | 2022-12-20 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2022-05-06 | 2022-06-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-06 | 2022-06-20 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-06 | 2022-06-20 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-06 | 2022-06-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-06 | 2022-06-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-06 | 2022-06-20 | 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 | 2022-05-06 | 2022-06-20 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-06 | 2022-06-20 | N |
Put firmly secured handrails on each side of hallways. | Health | 2022-05-06 | 2022-06-20 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-06 | 2022-06-20 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-06 | 2022-06-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-06 | 2022-06-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-05-06 | 2022-06-20 | 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 | 2022-05-06 | 2022-06-20 | N |
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