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Deficiency Records for Avera Mother Joseph Manor Retirement Community

View the most recent health deficiencies and inspection results for Avera Mother Joseph Manor Retirement Community. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Avera Mother Joseph Manor Retirement Community. 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 2025-12-17 2026-01-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-17 2026-01-30 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 2025-12-17 2026-01-24 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 2025-12-17 2026-01-24 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 2025-12-17 2026-01-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-12-17 2026-01-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2025-12-17 2025-12-26 N
Post nurse staffing information every day. Health 2025-12-17 2025-12-26 N
Have correct number of accessible exits for each story. Fire Safety 2025-12-17 2025-12-26 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 2025-08-01 2025-09-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-06-04 2025-05-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-28 2024-07-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-16 2024-06-19 N
Keep residents' personal and medical records private and confidential. Health 2023-08-02 2023-09-18 Y
Have correct number of accessible exits for each story. Fire Safety 2023-03-23 2023-05-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-23 2023-05-11 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-03-23 2023-04-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-23 2023-04-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-23 2023-04-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-23 2023-04-21 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 2023-03-23 2023-04-21 N
Provide and implement an infection prevention and control program. Health 2023-03-23 2023-04-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-23 2023-04-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-05-16 Not Fixed N
Have correct number of accessible exits for each story. Fire Safety 2024-05-16 Not Fixed N

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