Deficiency Records for St. Joseph Villa Nursing Center
Updated as of October 01, 2016
This is not the most recent data for St. Joseph Villa Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for St. Joseph Villa Nursing Center. 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? |
|---|---|---|---|---|
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-18 | 2016-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-18 | 2016-06-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-18 | 2016-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-18 | 2016-06-02 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-07-15 | 2015-08-29 | N |
| Provide housekeeping and maintenance services. | Health | 2015-07-15 | 2015-08-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-15 | 2015-08-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-15 | 2015-08-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-15 | 2015-08-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-15 | 2015-08-29 | N |
| Provide or obtain dental services for each resident. | Health | 2015-07-15 | 2015-08-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-15 | 2015-08-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-07-15 | 2015-08-29 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-22 | 2015-08-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-07-15 | 2015-08-29 | N |
| Provide housekeeping and maintenance services. | Health | 2015-07-15 | 2015-08-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-15 | 2015-08-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-15 | 2015-08-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-15 | 2015-08-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-15 | 2015-08-29 | N |
| Provide or obtain dental services for each resident. | Health | 2015-07-15 | 2015-08-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-15 | 2015-08-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-07-15 | 2015-08-29 | Y |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-22 | 2015-08-19 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-22 | 2015-08-19 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-22 | 2015-08-19 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-22 | 2015-08-19 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-07-22 | 2015-08-17 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-07-22 | 2015-08-17 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-07-22 | 2015-08-08 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-07-22 | 2015-08-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-12-02 | 2014-12-24 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-12-02 | 2014-12-24 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Portable fire extinguishers. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-06-09 | 2014-07-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-06-09 | 2014-07-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-09 | 2014-07-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-06-09 | 2014-07-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-09 | 2014-07-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-06-09 | 2014-07-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-06-09 | 2014-07-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-06-09 | 2014-07-09 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-06-09 | 2014-07-09 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Portable fire extinguishers. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-11 | 2014-07-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-06-09 | 2014-07-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-06-09 | 2014-07-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-09 | 2014-07-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-06-09 | 2014-07-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-09 | 2014-07-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-09 | 2014-07-09 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-06-09 | 2014-07-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-06-09 | 2014-07-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-06-09 | 2014-07-09 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-06-09 | 2014-07-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-04-08 | 2014-05-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-08 | 2014-05-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-04-08 | 2014-05-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-08 | 2014-05-22 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2013-02-07 | 2013-03-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2013-02-12 | 2013-03-13 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2013-02-12 | 2013-03-13 | N |
| Provide housekeeping and maintenance services. | Health | 2013-02-12 | 2013-03-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-02-12 | 2013-03-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-02-12 | 2013-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-02-12 | 2013-03-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-02-12 | 2013-03-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-02-12 | 2013-03-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-02-12 | 2013-03-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-02-12 | 2013-03-13 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-02-12 | 2013-03-13 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2013-02-12 | 2013-03-13 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2013-02-12 | 2013-03-13 | N |
| Provide housekeeping and maintenance services. | Health | 2013-02-12 | 2013-03-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-02-12 | 2013-03-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-02-12 | 2013-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-02-12 | 2013-03-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-02-12 | 2013-03-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-02-12 | 2013-03-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-02-12 | 2013-03-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-02-12 | 2013-03-13 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-02-12 | 2013-03-13 | N |
