Deficiency Records for Saint Joseph Transitional Rehabilitation Center
Updated as of September 01, 2022
This is not the most recent data for Saint Joseph Transitional Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Saint Joseph Transitional Rehabilitation 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-28 | 2022-01-26 | Y |
Provide appropriate foot care. | Health | 2021-12-28 | 2022-01-26 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-12 | 2021-05-29 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-05-29 | N |
Provide and implement an infection prevention and control program. | Health | 2021-01-15 | 2021-02-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-30 | 2020-11-29 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-30 | 2020-11-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-09-30 | 2020-11-29 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-09-30 | 2020-11-29 | 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 | 2020-07-10 | 2020-08-28 | N |
Provide and implement an infection prevention and control program. | Health | 2020-04-09 | 2020-04-30 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-28 | 2020-03-06 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-15 | 2019-11-15 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-31 | 2019-10-04 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-07-31 | 2019-10-04 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-31 | 2019-10-04 | 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 | 2019-07-31 | 2019-10-04 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-07-31 | 2019-10-04 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-31 | 2019-10-04 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-31 | 2019-09-19 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-07-31 | 2019-09-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-09-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-09-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-31 | 2019-09-19 | N |
Provide appropriate foot care. | Health | 2019-07-31 | 2019-09-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-09-19 | 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 | 2019-07-31 | 2019-09-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-09-19 | N |
Provide activities to meet all resident's needs. | Health | 2018-07-19 | 2018-09-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-19 | 2018-09-12 | 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 | 2018-07-19 | 2018-09-12 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-19 | 2018-09-12 | 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 | 2018-07-19 | 2018-09-12 | N |
Provide family notifications of emergency plan. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Meet other general requirements. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-28 | 2017-08-24 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-28 | 2017-08-24 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-07-28 | 2017-08-24 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-08-24 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-07-28 | 2017-08-24 | N |
Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-07-28 | 2017-08-24 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-07-28 | 2017-08-24 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-28 | 2017-08-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-28 | 2017-08-24 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-28 | 2017-08-24 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-28 | 2017-08-24 | N |