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Deficiency Records for St John Specialty Care Center
View the most recent health deficiencies and inspection results for St John Specialty Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St John Specialty Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-11 | 2026-03-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-11 | 2026-03-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-11 | 2026-03-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-03 | 2025-12-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-15 | 2025-02-14 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-10-11 | 2024-11-30 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-10-11 | 2024-11-30 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-10-11 | 2024-11-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-11 | 2024-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-11 | 2024-11-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-11 | 2024-11-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-11 | 2024-11-30 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-11 | 2024-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-11 | 2024-11-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-11 | 2024-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-11 | 2024-11-30 | 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 | 2024-10-11 | 2024-11-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-10-11 | 2024-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-11 | 2024-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-11 | 2024-11-30 | 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 | 2024-10-11 | 2024-11-30 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-10-11 | 2024-11-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-10-11 | 2024-11-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-11 | 2024-11-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-10-11 | 2024-11-30 | N |
| 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 | 2024-10-11 | 2024-11-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-10-11 | 2024-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-11 | 2024-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-11 | 2024-11-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Meet other general requirements. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-11 | 2024-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-09 | 2024-07-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-09 | 2024-07-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-18 | 2024-06-28 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-18 | 2024-06-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-18 | 2024-06-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-18 | 2024-06-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-18 | 2024-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-18 | 2024-06-28 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-01 | 2024-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | 2024-02-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-12-01 | 2024-02-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-01 | 2024-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-01 | 2024-02-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-01 | 2024-02-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-01 | 2024-01-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-01 | 2024-01-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-01 | 2024-01-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-01 | 2024-01-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-01 | 2024-01-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-01 | 2024-01-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-01 | 2024-01-19 | N |
| 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 | 2023-12-01 | 2024-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-01 | 2024-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-19 | N |
| Report COVID19 data to residents and families. | Health | 2023-12-01 | 2024-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-16 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-16 | 2023-08-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-16 | 2023-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-16 | 2023-07-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-07-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-16 | 2023-07-28 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-06-16 | 2023-07-28 | N |