St Joseph's, A Villa Center

Inspection Results

Nursing Homes Michigan Hamtramck St Joseph's, A Villa Center

St Joseph's, A Villa Center has been cited for a total of 71 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for St Joseph's, A Villa Center.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 440 nursing homes in Michigan with a total of 33,399 deficiencies resulting in an average of 75.91 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

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.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-29

Corrected:

2023-12-15

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-29

Corrected:

2023-12-15

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.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-29

Corrected:

2023-12-15

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-29

Corrected:

2023-12-15

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.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

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.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

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.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-09-13

Corrected:

2022-10-05

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-04-29

Corrected:

2022-05-20

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-04-29

Corrected:

2022-05-20

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Observe each nurse aide's job performance and give regular training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Ensure each resident�s drug regimen must be free from unnecessary drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Observe each nurse aide's job performance and give regular training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Ensure each resident�s drug regimen must be free from unnecessary drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-05-26

Corrected:

2021-06-25

Reasonably accommodate the needs and preferences of each resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

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.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

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.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide or obtain dental services for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-06-25

Corrected:

2019-07-16

Learn more about St Joseph's, A Villa Center at the following resources

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St Joseph's, A Villa Center

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