A list of the most recent deficiencies for St. Joseph's Villa, Inc.. 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 and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-10-27 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-10 | 2023-10-27 | 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 | 2023-10-10 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-10 | 2023-10-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-10 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-10 | 2023-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-04 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-08-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-08-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-01 | 2022-08-26 | 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 | 2021-03-30 | 2021-05-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-30 | 2021-05-07 | 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 | 2021-03-30 | 2021-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-30 | 2021-05-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-03-30 | 2021-05-07 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-03-25 | 2021-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-25 | 2021-05-05 | N |
