Inspection visit
Inspection
Citations
21 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0225GeneralS&S Fpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0015GeneralS&S Cno actual harm
Address subsistence needs for staff and patients.
- 0020GeneralS&S Fpotential for harm
Establish policies and procedures including evacuation.
- 0035GeneralS&S Cno actual harm
Provide family notifications of emergency plan.
- 0374GeneralS&S Fpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
F915 - Buildings must have an outside window or outside door in every
Have proper power supply for life support equipment.
- 0004GeneralS&S Fpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0007GeneralS&S Fpotential for harm
Address patient/client population and determine types of services needed.
- 0255GeneralS&S Dpotential for harm
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
- 0293GeneralS&S Epotential for harm
Have properly located and lighted "Exit" signs.
- 0341GeneralS&S Dpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0351GeneralS&S Dpotential for harm
Install an approved automatic sprinkler system.
- 0355GeneralS&S Epotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0531GeneralS&S Fpotential for harm
Have elevators that firefighters can control in the event of a fire.
F911 - Accommodate no more than four residents
Meet requirements for the installation and maintenance of electrical systems.
F770 - Laboratory Services
Provide timely, quality laboratory services/tests to meet the needs of residents.
F584 - Safe Environment
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F761 - Labeling of Drugs and Biologicals
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.
F803 - Menus and nutritional adequacy
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F657 - Comprehensive Care Plans
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F806 - Food and drink
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
FAQ · About this visit
Common questions about this visit
What happened during the April 24, 2023 survey of SAINTS JOACHIM & ANNE NURSING AND REHAB CENTER?
This was a inspection survey of SAINTS JOACHIM & ANNE NURSING AND REHAB CENTER on April 24, 2023. The surveyor cited 21 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at SAINTS JOACHIM & ANNE NURSING AND REHAB CENTER on April 24, 2023?
Yes, 21 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Have stairways and smokeproof enclosures used as exits that meet safety requirements."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.