A list of the most recent deficiencies for St 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-01 | 2022-10-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-09-01 | 2022-10-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-10-17 | 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 | 2022-08-30 | 2022-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-09-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-04 | 2020-03-29 | 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 | 2020-03-04 | 2020-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-03-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-04 | 2020-03-18 | 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 | 2020-03-04 | 2020-03-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-04 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-04 | 2020-03-18 | 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 | 2019-03-12 | 2019-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-12 | 2019-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-12 | 2019-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-12 | 2019-05-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-07 | 2019-04-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-07 | 2019-04-10 | 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 | 2019-03-07 | 2019-04-10 | N |
