Deficiency Records for St. Joseph's Hospital
Updated as of August 01, 2019
This is not the most recent data for St. Joseph's Hospital. For the most recent information, click here.
A list of the most recent deficiencies for St. Joseph's Hospital. 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? |
---|---|---|---|---|
Ensure each resident receives an accurate assessment. | Health | 2019-04-17 | 2019-05-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-17 | 2019-05-22 | 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 | 2019-04-17 | 2019-05-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-17 | 2019-05-22 | N |
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 | 2019-04-17 | 2019-05-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-17 | 2019-05-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-17 | 2019-05-22 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-05-09 | 2018-08-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-09 | 2018-08-07 | 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 | 2018-05-09 | 2018-08-07 | N |
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 | 2018-05-09 | 2018-08-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-09 | 2018-08-07 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-09 | 2018-08-07 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-09 | 2018-08-07 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-09 | 2018-08-07 | N |
Implement a program that monitors antibiotic use. | Health | 2018-05-09 | 2018-08-07 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-11 | 2018-06-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-11 | 2018-06-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-11 | 2018-05-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-09 | 2017-06-15 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-09 | 2017-06-14 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-09 | 2017-06-14 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-09 | 2017-06-14 | N |