Deficiency Records for St Johns Place

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Updated as of May 01, 2024

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Deficiency Records for St Johns Place

A list of the most recent deficiencies for St Johns Place. 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 Johns Place. 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?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-03-23 2024-04-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-23 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 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
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 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 N
PASARR screening for Mental disorders or Intellectual Disabilities 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
Provide care and assistance to perform activities of daily living for any resident who is unable. 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
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
Provide and implement an infection prevention and control program. Health 2024-03-20 2024-04-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-23 2024-04-08 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-03-23 2024-04-08 N
Develop a communication plan. Fire Safety 2024-03-23 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
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2022-10-25 2022-11-18 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-10-25 2022-11-16 Y
Honor the resident's right to manage his or her financial affairs. Health 2022-10-25 2022-11-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-25 2022-11-15 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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
Ensure each resident receives an accurate assessment. Health 2022-03-03 2022-04-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-03 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
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
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
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
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-07-28 2021-08-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-28 2021-08-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-28 2021-08-21 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-07-28 2021-08-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-28 2021-08-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-28 2021-08-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-07-28 2021-08-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-28 2021-08-17 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-07-28 2021-08-17 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2021-07-28 2021-08-16 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-07-28 2021-08-16 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2021-07-28 2021-08-16 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 2021-07-28 2021-08-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-28 2021-08-16 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2021-07-28 2021-08-16 N
Implement a program that monitors antibiotic use. Health 2021-07-28 2021-08-16 N
Ensure each resident receives an accurate assessment. Health 2021-07-28 2021-08-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-28 2021-08-14 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 2021-07-28 2021-08-14 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 2021-07-28 2021-08-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-28 2021-07-31 N
Provide properly protected cooking facilities. Fire Safety 2021-07-28 2021-07-28 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2021-07-28 2021-07-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-28 2021-07-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-05-20 2021-05-21 Y
Respond appropriately to all alleged violations. Health 2021-05-20 2021-05-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-20 2021-05-21 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-05-20 2021-05-20 Y

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