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Deficiency Records for Saint Joseph Transitional Rehabilitation Center
View the most recent health deficiencies and inspection results for Saint Joseph Transitional Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Saint Joseph Transitional Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-09-12 | 2025-10-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-09-12 | 2025-10-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-09-12 | 2025-10-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-09-12 | 2025-10-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-09-12 | 2025-10-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-09-12 | 2025-10-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-12 | 2025-10-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-09-12 | 2025-10-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-09-12 | 2025-10-09 | 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 | 2025-09-12 | 2025-10-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-09-12 | 2025-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-12 | 2025-10-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-12 | 2025-10-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-12 | 2025-10-08 | 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 | 2025-09-12 | 2025-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-12 | 2025-10-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-09-12 | 2025-09-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-09-12 | 2025-09-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-09-19 | 2024-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-19 | 2024-10-29 | 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 | 2024-09-19 | 2024-10-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-19 | 2024-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-19 | 2024-10-29 | 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 | 2024-09-19 | 2024-10-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-09-19 | 2024-10-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-22 | 2023-10-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-22 | 2023-10-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-22 | 2023-10-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-09-22 | 2023-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-22 | 2023-10-31 | 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 | 2023-09-22 | 2023-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-10-31 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-22 | 2023-10-31 | 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 | 2023-09-22 | 2023-10-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-22 | 2023-10-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-22 | 2023-10-31 | N |