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Deficiency Records for St. Joseph Manor
View the most recent health deficiencies and inspection results for St. Joseph Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St. Joseph Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-11 | 2026-03-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-11 | 2026-03-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-03-11 | 2026-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-04 | 2025-09-12 | Y |
| 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 | 2025-09-04 | 2025-09-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-04 | 2025-09-12 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-09-04 | 2025-09-12 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-07-30 | 2025-08-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-07-30 | 2025-08-22 | Y |
| Post nurse staffing information every day. | Health | 2025-07-30 | 2025-08-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-26 | 2025-07-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-12 | 2025-06-27 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-27 | 2025-06-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-03-27 | 2025-06-10 | 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 | 2025-03-27 | 2025-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-27 | 2025-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-27 | 2025-04-18 | 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 | 2025-03-27 | 2025-04-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-27 | 2025-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-27 | 2025-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-27 | 2025-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-27 | 2025-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-27 | 2025-04-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-03-27 | 2025-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-27 | 2025-04-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-03-27 | 2025-04-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-08-28 | 2024-08-30 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2024-07-31 | 2024-08-15 | Y |
| 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 | 2024-06-15 | 2024-07-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-17 | 2024-06-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-07 | 2024-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-04-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-02-07 | 2024-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-07 | 2024-03-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-07 | 2024-03-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-07 | 2024-03-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-07 | 2024-03-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-07 | 2024-03-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-07 | 2024-03-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-07 | 2024-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-07 | 2024-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | 2024-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-08 | 2023-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-08 | 2023-01-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-08 | 2023-01-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-08 | 2023-01-09 | N |