St Johns Health Care Corporation

Inspection Report, Updated April 2013

PFI: 0442
Regional Office: WRO--Rochester Area Office

This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.

Summary

This table summarizes the citations in the details section of this report and compares them against the statewide average.

MeasureThis FacilityStatewide Average
Standard Health Deficiencies2018
Life Safety Code Deficiencies297
Total Deficiencies4925
Deficiencies Related to Actual Harm or Immediate Jeopardy21
% of Deficiencies Related to Actual Harm or Immediate Jeopardy4%4%

Details of Certification and Complaint Surveys

Key to understanding citations and surveys:

  • Potential for no more than Minimal Harm
    Potential for no more than Minimal Harm
  • Potential for more than Minimal Harm
    Potential for more than Minimal Harm
  • Actual Harm
    Actual Harm
  • Immediate Jeopardy
    Immediate Jeopardy
  • Isolated
    Isolated
  • Pattern
    Pattern
  • Widespread
    Widespread
  • Certification surveys are on-site inspections required every 9-15 months by the federal government.
  • Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
 

August 2, 2012 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyActual HarmIsolatedNot substandard quality of careOctober 1, 2012
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 1, 2012
ACCOMMODATION OF NEEDS AND PREFERENCES View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 1, 2012
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 1, 2012
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 1, 2012
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 1, 2012
SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 1, 2012
ESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION View details of this deficiencyPotential for no more than Minimal HarmWidespreadNot substandard quality of careOctober 1, 2012
RESIDENT CALL SYSTEM View details of this deficiencyPotential for no more than Minimal HarmWidespreadNot substandard quality of careOctober 1, 2012
RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of careOctober 1, 2012

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
CONSTRUCTION TYPE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
CORRIDOR WALLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
ENCLOSURE DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
EXIT LIGHTING View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
EXIT SIGNS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
HAZARDOUS AREAS - SEPARATION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
MAIN SPRINKLER CONTROL View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
PORTABLE FIRE EXTINGUISHERS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 2, 2012
SMOKE PARTITION CONSTRUCTION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012
TRAVEL DISTANCES View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 2, 2012

April 13, 2012 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 13, 2012
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 13, 2012
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 13, 2012

June 24, 2011 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
DENTAL SERVICES IN SKILLED NURSING FACILITIES View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careAugust 24, 2011
DEVELOP COMPREHENSIVE CARE PLANS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careAugust 24, 2011

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
TESTING OF FIRE ALARM View details of this deficiencyPotential for more than Minimal HarmWidespreadNot substandard quality of careAugust 22, 2011
CONSTRUCTION TYPE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 22, 2011
DOORS IN FIRE AND SMOKE PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careAugust 22, 2011
GENERATORS INSPECTED/TESTED View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 15, 2011

December 23, 2010 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careFebruary 18, 2011

September 27, 2010 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyActual HarmIsolatedNot substandard quality of careNovember 17, 2010

August 19, 2010 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 17, 2010
INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careAugust 24, 2010

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
COMBUSTIBLE CURTAINS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 4, 2010
CONSTRUCTION TYPE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 15, 2010
CORRIDOR DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careOctober 17, 2010
CORRIDOR WALLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 4, 2010
ENCLOSURE DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 1, 2010
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 1, 2010
FLAMMABLE FURNISHINGS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 4, 2010
GENERATORS INSPECTED/TESTED View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 1, 2010
HAZARDOUS AREAS - SEPARATION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 4, 2010
LINEN AND TRASH CHUTES View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 1, 2010
SMOKE PARTITION CONSTRUCTION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 4, 2010
SPRINKLER SYSTEM MAINTENANCE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 17, 2010
STAIRWAY ENCLOSURES AND VERTICAL SHAFTS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careSeptember 1, 2010
VENTILATING EQUIPMENT View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 4, 2010

April 30, 2010 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 1, 2010

Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.

If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.