Deficiency Records for St Joseph's Hospital - Skilled Nursing Facility
Updated as of May 01, 2020
This is not the most recent data for St Joseph's Hospital - Skilled Nursing Facility. For the most recent information, click here.
A list of the most recent deficiencies for St Joseph's Hospital - Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Develop a communication plan. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-24 | 2020-04-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-24 | 2020-04-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-24 | 2020-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-24 | 2020-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-14 | 2019-08-14 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-26 | 2018-11-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-09-26 | 2018-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-26 | 2018-11-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-26 | 2018-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-26 | 2018-11-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-26 | 2018-11-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-26 | 2018-11-28 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-09-26 | 2018-11-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-26 | 2018-11-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-26 | 2018-11-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-02 | 2017-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-02 | 2017-07-21 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-06-02 | 2017-07-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-02 | 2017-07-21 | 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 | 2017-06-02 | 2017-07-21 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-02 | 2017-07-21 | N |
| Provide or obtain dental services for each resident. | Health | 2017-06-02 | 2017-07-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-02 | 2017-07-21 | N |
| Keep all essential equipment working safely. | Health | 2017-06-02 | 2017-07-21 | N |
