A list of the most recent deficiencies for Saint Joseph Villa. 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 | 2023-07-26 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-26 | 2023-08-25 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-07-17 | 2023-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-17 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-17 | 2023-08-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-08-29 | 2022-11-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-29 | 2022-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-29 | 2022-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-29 | 2022-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-09-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-29 | 2022-09-23 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-08-29 | 2022-09-08 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-29 | 2022-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-27 | 2021-12-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-27 | 2021-11-26 | 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 | 2021-09-27 | 2021-11-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-27 | 2021-11-26 | N |
