Deficiency Records for Saint Joseph Transitional Rehabilitation Center
Updated as of May 01, 2018
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-17 | 2016-09-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-12 | 2016-09-19 | 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 | 2016-08-12 | 2016-09-19 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-08-12 | 2016-09-19 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-08-12 | 2016-09-19 | 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 | 2016-08-12 | 2016-09-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-12 | 2016-09-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-12 | 2016-09-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-12 | 2016-09-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-12 | 2016-09-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-08-12 | 2016-09-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-12 | 2016-09-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-12 | 2016-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-12 | 2016-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-05 | 2015-11-18 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-09-03 | 2015-10-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-09-03 | 2015-10-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-09-03 | 2015-10-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-03 | 2015-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-09-03 | 2015-10-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-03 | 2015-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-03 | 2015-10-16 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-09-03 | 2015-10-16 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-09-03 | 2015-10-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-03 | 2015-10-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-09-03 | 2015-10-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-09-03 | 2015-10-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-03 | 2015-10-16 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-09-03 | 2015-10-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-09-03 | 2015-10-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2015-09-03 | 2015-10-09 | N |
