Deficiency Records for St John Specialty Care Center
Updated as of October 01, 2022
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? |
|---|---|---|---|---|
| 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 | 2022-07-12 | 2022-09-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-12 | 2022-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-12 | 2022-09-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-12 | 2022-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-12 | 2022-09-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-12 | 2022-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-12 | 2022-09-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-08 | 2022-08-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-08 | 2022-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-08 | 2022-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-08 | 2022-08-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-08 | 2022-08-19 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-08 | 2022-08-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-08 | 2022-08-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-08 | 2022-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-08 | 2022-08-19 | 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 | 2022-07-08 | 2022-08-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-07-08 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-08 | 2022-08-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-08 | 2022-08-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-16 | 2021-05-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-16 | 2021-05-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-16 | 2021-05-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-16 | 2021-05-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-16 | 2021-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-16 | 2021-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-16 | 2021-05-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-16 | 2021-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-16 | 2021-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-16 | 2021-05-21 | N |
| Use approved construction type or materials. | Fire Safety | 2021-03-31 | 2021-05-21 | 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 | 2021-03-31 | 2021-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-31 | 2021-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-31 | 2021-05-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-31 | 2021-05-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-31 | 2021-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-31 | 2021-05-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-11-05 | 2020-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-05 | 2020-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-03 | 2020-10-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-26 | 2020-07-15 | N |
| 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 an enclosure around a vertical opening shaft. | 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 requirements for the installation and maintenance of electrical systems. | 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 |
