A list of the most recent deficiencies for Josephine Caring Community. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-25 | 2023-06-05 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-25 | 2023-06-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-25 | 2023-06-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-06-05 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-25 | 2023-06-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-25 | 2023-06-05 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-25 | 2023-06-05 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-04-25 | 2023-06-05 | 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 | 2023-04-25 | 2023-06-05 | N |
Provide or obtain dental services for each resident. | Health | 2023-04-25 | 2023-06-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-25 | 2023-06-05 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-25 | 2023-06-05 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Establish emergency prep training and testing. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
Respond appropriately to all alleged violations. | Health | 2023-02-06 | 2023-03-15 | Y |
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 | 2023-02-06 | 2023-03-15 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-06 | 2023-03-15 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-19 | 2022-10-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-09-19 | 2022-10-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-04-12 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-20 | 2021-09-27 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-20 | 2021-09-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-13 | 2021-05-12 | Y |
Respond appropriately to all alleged violations. | Health | 2021-04-13 | 2021-05-12 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-17 | 2019-06-13 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-05-17 | 2019-06-13 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-17 | 2019-06-13 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-17 | 2019-06-13 | 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 | 2019-05-17 | 2019-06-13 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-17 | 2019-06-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-17 | 2019-06-13 | 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 | 2019-05-17 | 2019-06-13 | N |
Provide activities to meet all resident's needs. | Health | 2019-05-17 | 2019-06-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-17 | 2019-06-13 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-17 | 2019-06-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-17 | 2019-06-13 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-17 | 2019-06-13 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-17 | 2019-06-13 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-17 | 2019-06-13 | 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 | 2019-05-17 | 2019-06-13 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-17 | 2019-06-13 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Establish methods for sharing information. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-08 | 2019-06-04 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-08 | 2019-06-04 | 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 | 2018-03-29 | 2018-05-11 | N |
Respond appropriately to all alleged violations. | Health | 2018-03-29 | 2018-05-11 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-29 | 2018-05-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-05-11 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-29 | 2018-05-11 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-29 | 2018-05-11 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-29 | 2018-05-11 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-03-29 | 2018-05-11 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-05-11 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-29 | 2018-05-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-22 | 2018-04-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-22 | 2018-04-20 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-22 | 2018-04-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-22 | 2018-04-11 | N |