A list of the most recent deficiencies for Living Community of St Joseph. 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 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 | 2023-03-06 | 2023-05-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-06 | 2023-04-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-06 | 2023-04-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-06 | 2023-04-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-06 | 2023-04-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-06 | 2023-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-06 | 2023-04-14 | 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 | 2023-03-06 | 2023-04-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-06 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-06 | 2023-04-14 | 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 | 2023-03-06 | 2023-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-06 | 2023-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-06 | 2023-04-14 | 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 | 2023-03-06 | 2023-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-06 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-06 | 2023-04-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-06 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-02 | 2021-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-02 | 2021-07-16 | Y |
| Keep all essential equipment working safely. | Health | 2021-06-02 | 2021-07-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-30 | 2021-07-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-30 | 2021-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-10 | 2021-07-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-10 | 2021-07-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-03-10 | 2021-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-30 | 2021-04-30 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2020-02-27 | 2020-04-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-27 | 2020-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-27 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-10 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-06-04 | 2019-07-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-06-04 | 2019-07-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-06-04 | 2019-07-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-04 | 2019-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-04 | 2019-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-04 | 2019-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-04 | 2019-07-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-06-04 | 2019-07-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-04 | 2019-07-30 | N |
| Post nurse staffing information every day. | Health | 2019-06-04 | 2019-07-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-04 | 2019-07-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-06-04 | 2019-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-04 | 2019-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-04 | 2019-07-30 | N |
