A list of the most recent deficiencies for Peace Care St Joseph's. 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? |
|---|---|---|---|---|
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-22 | 2023-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-22 | 2023-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-09-08 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-08-22 | 2023-09-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-22 | 2023-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-08-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-22 | 2023-08-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-22 | 2023-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-08-29 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-22 | 2023-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-07-31 | N |
