Deficiency Records for St John Specialty Care Center
Updated as of November 01, 2020
This is not the most recent data for St John Specialty Care Center. For the most recent information, click here.
A list of the most recent deficiencies for St John Specialty Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-06 | 2020-02-04 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-12-06 | 2020-02-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-06 | 2020-02-04 | 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 | 2019-12-06 | 2020-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-02-04 | 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 | 2019-12-06 | 2020-02-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-06 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2020-02-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-12-17 | 2020-01-17 | 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 | 2019-12-17 | 2020-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-08 | 2019-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2019-01-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-08 | 2019-01-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-05 | 2018-12-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-05 | 2018-12-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-05 | 2018-12-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-05 | 2018-12-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-05 | 2018-12-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-11-05 | 2018-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-05 | 2018-12-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-11-05 | 2018-12-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-05 | 2018-12-21 | Y |
| 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 | 2018-11-05 | 2018-12-21 | Y |
| 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 | 2018-07-17 | 2018-08-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-22 | 2018-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-22 | 2018-02-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Establish methods for sharing information. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Meet other general requirements. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-12-21 | 2018-02-19 | 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 | 2017-12-21 | 2018-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-21 | 2018-02-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-22 | 2018-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-22 | 2018-01-29 | 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 | 2017-12-22 | 2018-01-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2017-12-22 | 2018-01-02 | N |
