Deficiency Records for St Joseph's Healthcare and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for St Joseph's Healthcare and Rehab 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-25 | 2024-02-05 | 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 | 2024-01-25 | 2024-02-05 | 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 | 2021-09-28 | 2021-10-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-28 | 2021-10-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-28 | 2021-10-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-28 | 2021-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-28 | 2021-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-28 | 2021-10-11 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-09-28 | 2021-10-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-28 | 2021-10-11 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-09-28 | 2021-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-26 | 2021-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-12-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-08 | 2019-12-02 | N |
