A list of the most recent deficiencies for St Joseph Residence. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-08-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-12 | 2023-08-09 | 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 | 2023-07-12 | 2023-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-12 | 2023-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-12 | 2023-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-12 | 2023-07-26 | 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 | 2023-07-12 | 2023-07-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-12 | 2023-07-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-12 | 2023-07-14 | 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 | 2022-09-16 | 2022-09-21 | 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 | 2022-09-16 | 2022-09-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-29 | 2022-07-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-29 | 2022-07-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-09-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-04 | 2021-09-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-04 | 2021-09-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-04 | 2021-09-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-05 | 2021-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-05 | 2021-08-11 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-04 | 2021-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-05 | 2021-08-05 | N |
| Use approved construction type or materials. | Fire Safety | 2023-07-12 | Not Fixed | N |
