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St. John Of God Retirement & Care Center
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797461034
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(Provided by Gilbert Guide's on-site reviewer)
This facility sits on a seven-acre lot in a gated community, which formerly was the Ramsay-Durfee Estate. There are three sister facilities on the same property. The light yellow exterior is topped by an orange roof. The grounds resemble a well-sculpted park with multiple trees, plants and colorful flowers surrounding a fountain. Skilled nursing is on the second and third floors, and the specialized Alzheimer's and dementia care unit occupies the first. During our tour, we met many of the personable staffers: one is a priest who, through fundraising efforts, was able to build the facility. He has worked here for over sixty years and has seen the facility grow from its original twenty residents. We also noted that residents seemed quite content: it is obvious that staffers' greatest commitment is to provide the best in compassionate care.
In the lobby, yellow and orange dots burst forth from the olive green carpeting. Light wood chairs proffer seating options and two large plants are stationed on opposite sides. One wall houses a large crucifixion scene along with a painting of an angel. A smaller lobby is marked by a mantel topped by silk flowers. Residents' rooms look like studio apartments with their spacious carpeted interiors. Some even boast two windows. The look is decidedly homey—many residents bring in personal items like photographs and memorabilia that add to this effect. The dining room's spaciousness, multiple plants and wooden furnishings reminded us of an elegant but comfortable restaurant-like atmosphere. Round ceiling lamps add more style. Other common rooms include a large chapel and lounges furnished with comfortable sofa chairs and big-screen TVs. The facility encircles an outdoor patio that boasts a handful of trees and a fountain at its center. Park benches and chairs beckon residents to enjoy this delightful area. Some residents take advantage of the small park that is tucked into the northeast corner of the property. Staff encourages residents who enjoy gardening to plant whatever they choose in the garden area. In the specialized dementia unit, lighting is intentionally subdued and carpeting is also a bit dark. Walls are a creamy off-white color. The residents' rooms are also spacious, but the dining room is diminutive. Activities in this portion of the facility are similar to the main programming in that they include games, exercise, arts and crafts, and sing-alongs, but all are specifically geared toward a population with dementia. Codes for this locked area are changed regularly to keep residents safe.
Details
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Facility Features
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 05/07/2007 Fire Safety Survey for St. John Of God Retirement & Care Center
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Widespread | Potential for minimal harm |
- 04/30/2007 Health Survey for St. John Of God Retirement & Care Center
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Potential for minimal harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Widespread | Potential for minimal harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Widespread | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Potential for minimal harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm |
- 02/08/2006 Fire Safety Survey for St. John Of God Retirement & Care Center
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| properly working alarms on sprinkler valves. | Widespread | Potential for minimal harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Isolated | Minimal harm or potential for actual harm |
| Interior Finish | ||
| Deficiency | Scope | Level of Harm |
| fire-resistant room wall surfaces. | Isolated | Minimal harm or potential for actual harm |
| Miscellaneous | ||
| Deficiency | Scope | Level of Harm |
| fire safety features required by current fire safety codes. | Widespread | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Pattern | Minimal harm or potential for actual harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
- 01/26/2006 Health Survey for St. John Of God Retirement & Care Center
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that staff members wash their hands when needed. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Offer other nutritional food to each resident who will not eat the food served. | Pattern | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Pattern | Potential for minimal harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Keep assessments completed in the preceding 15 months in the resident's active record. | Pattern | Potential for minimal harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Potential for minimal harm |
- 02/02/2005 Fire Safety Survey for St. John Of God Retirement & Care Center
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Widespread | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Widespread | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Widespread | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Pattern | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Widespread | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| properly located and lighted Exit signs. | Isolated | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| no-smoking signs where oxygen is used. | Isolated | Minimal harm or potential for actual harm |
- 01/19/2005 Health Survey for St. John Of God Retirement & Care Center
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Potential for minimal harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Minimal harm or potential for actual harm |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm |
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