ST JOSEPH'S MINISTRIES

📍 331 SOUTH SETON AVENUE, emmitsburg, MD 21727 📞 3014477000 🛏️ 99 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

65
Total Violations
5 years of data
$95,440
Total Fines
3 penalties
0
Inspections
No data available
21
Quality Metrics
Tracked measures

Health Violations by Year

2021 5 violations

Tag 0600 D May 26, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 30, 2021
Tag 0609 D May 26, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 30, 2021
Tag 0761 E Jan 6, 2021

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.

Tag 0775 F Jan 6, 2021

Keep complete, dated laboratory records in the resident's record.

Tag 0880 F Jan 6, 2021

Provide and implement an infection prevention and control program.

2020 4 violations

Tag 0711 D Jul 31, 2020

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

✓ Corrected: Sep 18, 2020
Tag 0775 F Jul 31, 2020

Keep complete, dated laboratory records in the resident's record.

✓ Corrected: Sep 18, 2020
Tag 0880 K Jul 31, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 18, 2020
Tag 0885 C Jul 31, 2020

Report COVID19 data to residents and families.

✓ Corrected: Sep 18, 2020

2019 15 violations

Tag 0550 D Jul 26, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 9, 2019
Tag 0578 D Jul 26, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 9, 2019
Tag 0600 D Jul 26, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 9, 2019
Tag 0623 D Jul 26, 2019

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

✓ Corrected: Sep 9, 2019
Tag 0655 D Jul 26, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Sep 9, 2019
Tag 0697 E Jul 26, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Sep 9, 2019
Tag 0756 E Jul 26, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Sep 9, 2019
Tag 0758 D Jul 26, 2019

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.

✓ Corrected: Sep 9, 2019
Tag 0790 D Jul 26, 2019

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Sep 9, 2019
Tag 0791 D Jul 26, 2019

Provide or obtain dental services for each resident.

✓ Corrected: Sep 9, 2019
Tag 0840 D Jul 26, 2019

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

✓ Corrected: Sep 9, 2019
Tag 0842 D Jul 26, 2019

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

✓ Corrected: Sep 9, 2019
Tag 0692 G Jan 16, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Dec 5, 2018
Tag 0761 E Jan 16, 2019

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.

✓ Corrected: Feb 20, 2019
Tag 0842 D Jan 16, 2019

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

✓ Corrected: Feb 20, 2019

2018 18 violations

Tag 0550 D Apr 4, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 14, 2018
Tag 0580 D Apr 4, 2018

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

✓ Corrected: May 14, 2018
Tag 0584 E Apr 4, 2018

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.

✓ Corrected: May 14, 2018
Tag 0609 D Apr 4, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 14, 2018
Tag 0610 E Apr 4, 2018

Respond appropriately to all alleged violations.

✓ Corrected: May 14, 2018
Tag 0623 C Apr 4, 2018

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

✓ Corrected: May 14, 2018
Tag 0641 D Apr 4, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: May 14, 2018
Tag 0655 C Apr 4, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 14, 2018
Tag 0656 E Apr 4, 2018

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

✓ Corrected: May 14, 2018
Tag 0657 E Apr 4, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 14, 2018
Tag 0755 E Apr 4, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 14, 2018
Tag 0756 E Apr 4, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: May 14, 2018
Tag 0758 D Apr 4, 2018

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.

✓ Corrected: May 14, 2018
Tag 0761 E Apr 4, 2018

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.

✓ Corrected: May 14, 2018
Tag 0770 D Apr 4, 2018

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: May 14, 2018
Tag 0801 F Apr 4, 2018

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: May 14, 2018
Tag 0842 E Apr 4, 2018

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

✓ Corrected: May 14, 2018
Tag 0867 D Apr 4, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: May 14, 2018

2017 23 violations

Tag 0224 D Jul 19, 2017

Protect each resident from mistreatment, neglect and misappropriation of personal property.

✓ Corrected: Sep 6, 2017
Tag 0280 E Jul 19, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Sep 6, 2017
Tag 0314 G Jul 19, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Sep 6, 2017
Tag 0323 E Jul 19, 2017

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

✓ Corrected: Sep 6, 2017
Tag 0514 D Jul 19, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Oct 14, 2017
Tag 0278 E Jul 18, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Aug 10, 2017
Tag 0425 D Jul 18, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Aug 10, 2017
Tag 0514 D Jul 18, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Aug 10, 2017
Tag 0157 E Apr 13, 2017

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

✓ Corrected: May 22, 2017
Tag 0225 D Apr 13, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: May 22, 2017
Tag 0241 E Apr 13, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: May 22, 2017
Tag 0247 D Apr 13, 2017

Give notice to the resident before a room or roommate change.

✓ Corrected: May 22, 2017
Tag 0278 D Apr 13, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: May 22, 2017
Tag 0282 E Apr 13, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: May 22, 2017
Tag 0323 D Apr 13, 2017

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

✓ Corrected: May 22, 2017
Tag 0325 D Apr 13, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: May 22, 2017
Tag 0329 E Apr 13, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: May 22, 2017
Tag 0371 D Apr 13, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: May 22, 2017
Tag 0428 D Apr 13, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: May 22, 2017
Tag 0441 D Apr 13, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: May 22, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 2 penalties totaling $85,817

$85,817
Fine
July 31, 2020
$0
Payment Denial
July 31, 2020
Average: $42,909 | Range: $0 - $85,817

2019 1 penalties totaling $9,623

$9,623
Fine
January 16, 2019
Average: $9,623 | Range: $9,623 - $9,623

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

No survey data available for this facility.

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
215267
215267
3014477000
Frederick