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Deficiency Records for St. John's Health Care Corporation

View the most recent health deficiencies and inspection results for St. John's Health Care Corporation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for St. John's Health Care Corporation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2025-06-09 2025-09-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-06-09 2025-09-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-09 2025-09-05 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-06-09 2025-09-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-06-09 2025-09-05 N
Reasonably accommodate the needs and preferences of each resident. Health 2025-06-09 2025-08-08 N
Respond appropriately to all alleged violations. Health 2025-06-09 2025-08-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-06-09 2025-08-08 Y
Provide and implement an infection prevention and control program. Health 2025-06-09 2025-08-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-06-09 2025-08-08 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2025-06-09 2025-08-08 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 2025-06-09 2025-08-08 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2025-06-09 2025-08-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-06-09 2025-08-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-06-09 2025-08-08 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-06-09 2025-08-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-13 2024-02-11 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-12-13 2024-02-11 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-12-13 2024-02-11 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-13 2024-02-11 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-12-13 2024-02-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-13 2024-02-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-13 2024-02-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-13 2024-02-11 Y
Ensure that residents are free from significant medication errors. Health 2023-12-13 2024-02-11 Y
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 2023-12-13 2024-02-11 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-13 2024-02-11 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-12-13 2024-02-11 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-12-13 2024-02-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-13 2024-02-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-13 2024-02-11 N
Have proper medical gas storage and administration areas. Fire Safety 2023-12-13 2024-02-11 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-12-13 2024-02-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-13 2024-02-11 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-12-13 2024-02-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-08 2022-01-21 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-11-08 2022-01-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-11-08 2022-01-21 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2021-11-08 2022-01-21 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-11-08 2022-01-07 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-11-08 2022-01-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-08 2022-01-07 N
Provide activities to meet all resident's needs. Health 2021-11-08 2022-01-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-08 2022-01-07 N

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