Deficiency Records for St. Joseph's Hospital
Updated as of September 01, 2021
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? |
|---|---|---|---|---|
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-27 | 2021-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-27 | 2021-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-27 | 2021-06-22 | N |
| Keep all essential equipment working safely. | Health | 2021-04-27 | 2021-06-22 | N |
| 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 |
