A list of the most recent deficiencies for St Joseph's Manor. 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 stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-21 | 2024-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-02 | 2024-03-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-06 | 2023-05-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-06 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-06 | 2023-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-06 | 2023-05-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-06 | 2023-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-06 | 2023-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-14 | 2022-06-13 | 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 | 2022-04-14 | 2022-06-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-14 | 2022-06-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-17 | 2022-04-15 | N |
