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Deficiency Records for Mount Saint Joseph Rehab Center

View the most recent health deficiencies and inspection results for Mount Saint Joseph Rehab Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Mount Saint Joseph Rehab Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-04-10 2025-05-30 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-04-10 2025-05-30 N
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2025-04-10 2025-05-30 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2025-04-10 2025-05-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-04-10 2025-05-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-04-10 2025-05-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-04-10 2025-05-30 N
Provide properly protected cooking facilities. Fire Safety 2025-04-10 2025-05-30 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2025-04-10 2025-05-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-04-10 2025-05-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-05 2023-10-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-05 2023-10-30 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-08-04 2022-09-19 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-08-04 2022-09-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-04 2022-09-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-04 2022-09-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-08-04 2022-09-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-08-29 2019-09-25 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 2019-08-29 2019-09-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-29 2019-09-25 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2019-08-29 2019-09-25 N
Ensure each resident receives an accurate assessment. Health 2019-08-29 2019-09-25 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-08-29 2019-09-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-08-29 2019-09-25 N
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Health 2019-08-29 2019-09-25 N

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