Deficiency Records for St. Joseph Villa Nursing Center
Updated as of April 01, 2018
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-06 | 2018-03-08 | 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 | 2018-02-06 | 2018-03-08 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Be properly staffed | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-06 | 2018-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-12 | 2018-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-12 | 2018-03-08 | 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 | 2018-02-12 | 2018-03-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-12 | 2018-03-08 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-12 | 2018-03-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-12 | 2018-03-08 | 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 | 2018-02-12 | 2018-03-08 | 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 | 2018-02-12 | 2018-03-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-12 | 2018-03-08 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-12 | 2018-03-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-12 | 2018-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-12 | 2018-03-08 | 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 | 2018-02-12 | 2018-03-08 | 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 | 2018-02-12 | 2018-03-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-12 | 2018-03-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-12 | 2018-03-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-12 | 2018-03-08 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-02-12 | 2018-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-12 | 2018-03-08 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-02-12 | 2018-03-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Horizontal exits. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-10-24 | 2016-12-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-24 | 2016-12-04 | 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 | 2016-10-20 | 2016-12-04 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-10-20 | 2016-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-20 | 2016-12-04 | 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 | 2016-10-20 | 2016-12-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-20 | 2016-12-04 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-20 | 2016-12-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-10 | 2016-09-08 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-10 | 2016-09-08 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-10 | 2016-09-08 | Y |
| 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 | 2016-08-10 | 2016-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-10 | 2016-09-08 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-10 | 2016-09-08 | 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 | 2016-07-26 | 2016-08-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-26 | 2016-08-31 | 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 |
| Have 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 |
| 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 |
