A list of the most recent deficiencies for St Joseph Residence. 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? |
|---|---|---|---|---|
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-08 | 2024-01-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-12-27 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-08 | 2023-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-12-21 | 2023-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-02-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-21 | 2023-02-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-21 | 2023-02-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-21 | 2023-02-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-21 | 2023-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-21 | 2023-01-26 | 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 | 2022-12-21 | 2023-01-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-22 | 2022-01-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-22 | 2022-01-17 | 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 | 2021-12-22 | 2022-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-22 | 2022-01-17 | N |
