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 |