CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St Joseph Manor Health and Rehabilitation
View the most recent health deficiencies and inspection results for St Joseph Manor Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Joseph Manor Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-12-16 | 2025-12-31 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-21 | 2025-04-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-03-21 | 2025-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-21 | 2025-04-15 | 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 | 2025-03-21 | 2025-04-15 | 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 | 2025-03-21 | 2025-04-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-03-21 | 2025-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-21 | 2025-04-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-22 | 2024-02-23 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-29 | 2024-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-29 | 2024-02-16 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-01-29 | 2024-02-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-29 | 2024-02-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-29 | 2024-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-29 | 2024-02-16 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2024-01-29 | 2024-02-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-01-29 | 2024-02-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-29 | 2024-02-16 | 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 | 2024-01-29 | 2024-02-16 | 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 | 2024-01-29 | 2024-02-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-29 | 2024-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-29 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-29 | 2024-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-29 | 2024-02-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-29 | 2024-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-29 | 2024-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-29 | 2024-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-29 | 2024-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-29 | 2024-02-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-01-29 | 2024-02-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-29 | 2024-02-16 | 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 | 2024-01-29 | 2024-02-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-29 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-15 | 2021-07-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-15 | 2021-07-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-15 | 2021-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-15 | 2021-07-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-15 | 2021-07-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-15 | 2021-07-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-15 | 2021-07-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-15 | 2021-07-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-15 | 2021-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-15 | 2021-07-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-15 | 2021-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-15 | 2021-07-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-15 | 2021-07-30 | 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 | 2021-06-15 | 2021-07-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-15 | 2021-07-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-15 | 2021-07-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-15 | 2021-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-15 | 2021-07-30 | N |