A list of the most recent deficiencies for St Joseph Chateau. 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? |
---|---|---|---|---|
Provide immediate access to any resident. | Health | 2023-12-19 | 2024-02-07 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-19 | 2024-01-11 | Y |
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 | 2023-12-19 | 2024-01-11 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-19 | 2024-01-11 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-05 | 2023-10-17 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-05 | 2023-10-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-01 | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2023-05-25 | 2023-06-29 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-25 | 2023-06-29 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-26 | 2023-05-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-01 | 2023-03-09 | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-12-21 | 2023-01-18 | Y |
Have exits that are accessible at all times. | Fire Safety | 2022-04-29 | 2022-09-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-29 | 2022-09-29 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-29 | 2022-06-28 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-29 | 2022-06-28 | N |
Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-04-29 | 2022-06-28 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2022-04-29 | 2022-06-28 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-29 | 2022-06-28 | N |
Respond appropriately to all alleged violations. | Health | 2022-04-29 | 2022-06-28 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-29 | 2022-06-28 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-29 | 2022-06-28 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-29 | 2022-06-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-29 | 2022-06-28 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-29 | 2022-06-28 | N |
Post nurse staffing information every day. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-29 | 2022-06-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-29 | 2022-06-28 | 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 | 2022-04-29 | 2022-06-28 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-29 | 2022-06-28 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-29 | 2022-06-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-29 | 2022-06-28 | N |
Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-06-28 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-29 | 2022-06-28 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-03 | 2022-01-28 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-20 | 2021-08-18 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-20 | 2021-08-18 | Y |
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 | 2019-08-22 | 2019-11-03 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-22 | 2019-11-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-22 | 2019-11-03 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-22 | 2019-10-04 | 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 | 2019-08-22 | 2019-10-04 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-10-04 | 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 | 2019-08-22 | 2019-10-04 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-10-04 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-22 | 2019-10-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-22 | 2019-10-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-10-04 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-10-04 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-30 | 2019-01-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-30 | 2019-01-10 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-11-30 | 2019-01-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-30 | 2019-01-10 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2019-01-10 | N |