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Deficiency Records for St Johns Place
View the most recent health deficiencies and inspection results for St Johns Place. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Johns Place. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-09 | 2026-05-17 | 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 | 2025-12-09 | 2026-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-09 | 2026-01-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-09 | 2026-01-24 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-12-09 | 2026-01-24 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-12-09 | 2026-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2025-12-09 | 2026-01-24 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-09 | 2026-01-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-09 | 2026-01-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-09 | 2026-01-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-09 | 2026-01-24 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-09 | 2025-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-09 | 2025-12-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-21 | 2025-09-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-03 | 2025-07-10 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-07-03 | 2025-07-01 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-08-27 | 2024-10-22 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-20 | 2024-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-03-20 | 2024-04-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-20 | 2024-04-09 | Y |
| 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 | 2024-03-20 | 2024-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-20 | 2024-04-08 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-20 | 2024-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-20 | 2024-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-20 | 2024-04-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-20 | 2024-04-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-03-20 | 2024-04-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-20 | 2024-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-04-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-03-20 | 2024-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-04-08 | Y |
| Develop a communication plan. | Fire Safety | 2024-03-20 | 2024-04-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-26 | 2024-01-12 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-26 | 2024-01-08 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-12-26 | 2024-01-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-03 | 2022-04-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-03 | 2022-04-01 | 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 | 2022-03-03 | 2022-04-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-03 | 2022-04-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-03 | 2022-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-03 | 2022-04-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-03-03 | 2022-04-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-03 | 2022-04-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-03 | 2022-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-03-21 | N |