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Deficiency Records for St. Joseph's Rehabilitation and Care Center
View the most recent health deficiencies and inspection results for St. Joseph's Rehabilitation and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St. Joseph's Rehabilitation and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-03 | 2026-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-03-03 | 2026-03-31 | Y |
| Implement a program that monitors antibiotic use. | Health | 2026-03-03 | 2026-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-03 | 2026-03-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-03 | 2026-03-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-03-03 | 2026-03-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-03-03 | 2026-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-03 | 2026-03-31 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-03 | 2026-03-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-03 | 2026-03-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-03-03 | 2026-03-31 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2026-03-03 | 2026-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-03 | 2026-03-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-03-03 | 2026-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-03-03 | 2026-03-31 | 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 | 2026-03-03 | 2026-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-17 | 2025-01-27 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-12-17 | 2025-01-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-17 | 2025-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-17 | 2025-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-17 | 2025-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-17 | 2025-01-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-17 | 2025-01-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-17 | 2025-01-27 | 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 | 2024-12-17 | 2024-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-17 | 2024-12-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-28 | 2024-01-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-28 | 2024-01-05 | 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 | 2023-11-28 | 2024-01-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-11-28 | 2024-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-28 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-28 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-28 | 2024-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-28 | 2024-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-28 | 2024-01-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-28 | 2023-12-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-11-28 | 2023-12-11 | 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 | 2023-11-28 | 2023-12-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-29 | Not Fixed | Y |