A list of the most recent deficiencies for St Josephs Place. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Provide outside doors or windows in every resident room. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-07 | 2019-08-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-06-07 | 2019-08-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-07 | 2019-08-05 | N |
| 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 | 2019-06-07 | 2019-08-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-07 | 2019-08-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-07 | 2019-08-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-07 | 2019-08-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-07 | 2019-08-05 | N |
| Provide outside doors or windows in every resident room. | Fire Safety | 2019-06-07 | 2019-08-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-06-07 | 2019-08-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-24 | 2017-09-29 | N |
| Provide outside doors or windows in every resident room. | Fire Safety | 2017-08-24 | 2017-09-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-08-24 | 2017-09-29 | N |
