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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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