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Deficiency Records for Concordia at Villa St Joseph
View the most recent health deficiencies and inspection results for Concordia at Villa St Joseph. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Concordia at Villa St Joseph. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-05 | 2026-04-19 | 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 | 2026-03-05 | 2026-04-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-05 | 2026-04-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-03-05 | 2026-04-19 | N |
| 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 | 2026-03-05 | 2026-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-05 | 2026-04-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-03-05 | 2026-04-19 | N |
| Respond appropriately to all alleged violations. | Health | 2026-03-05 | 2026-04-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-05 | 2026-04-19 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-03-05 | 2026-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-05 | 2026-04-19 | 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 | 2026-03-05 | 2026-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-05 | 2026-04-10 | 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 | 2026-03-05 | 2026-04-10 | 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 | 2025-12-30 | 2026-02-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-30 | 2026-02-07 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-28 | 2025-04-05 | 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 | 2025-02-28 | 2025-04-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-02-28 | 2025-04-05 | 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 (including nights and weekends) and emergencies. | Health | 2025-02-28 | 2025-04-05 | 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 | 2025-02-28 | 2025-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-28 | 2025-04-05 | N |
| Keep all essential equipment working safely. | Health | 2025-02-28 | 2025-04-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-28 | 2025-04-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-02-28 | 2025-04-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-28 | 2025-04-05 | 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 | 2025-02-28 | 2025-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-28 | 2025-04-05 | N |
| 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 | 2025-02-28 | 2025-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-28 | 2025-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-28 | 2025-04-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-28 | 2025-04-05 | 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 | 2025-02-28 | 2025-04-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-28 | 2025-04-05 | 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 | 2025-02-28 | 2025-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-28 | 2025-03-14 | 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 | 2025-02-28 | 2025-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-28 | 2025-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-28 | 2025-03-14 | 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 | 2024-03-14 | 2024-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-14 | 2024-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-14 | 2024-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-04-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-14 | 2024-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-24 | 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 | 2024-03-14 | 2024-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-24 | 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 | 2024-03-14 | 2024-04-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-11-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-26 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-10 | Y |