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St. Joseph's Hospital - Skilled Nursing Facility Inspection Report, Violations & Safety Grade (Elmira, New York)

555 St. Joseph's Boulevard, Elmira, New York 14902

Phone: 6077336541

CMS Overall:3/5

Overview & Bed Count

Certified Beds
85
Avg Residents/Day
79.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Chemung
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.290.73-0.44
Total Nurse Hours per Resident per Day3.673.69-0.01
CMS Staffing Rating3/52.9/5-
Nursing Staff Turnover24.4%40.3%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2026-02-13Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2026-02-13Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2026-02-13Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2024-07-26Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE – Moderate Harm Potential
2024-07-26Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.D – Moderate Harm Potential
2024-07-26Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential
2022-04-01Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2022-04-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-04-01Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B – Minimal Harm Potential
2020-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2020-01-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2020-01-24Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2020-01-24Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2020-01-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

12 fire safety citations on record

DateCategoryDescriptionSeverity
2024-07-26Emergency Preparedness DeficienciesDevelop a communication plan.E – Moderate Harm Potential
2024-07-26Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-07-26Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2022-04-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2020-01-24Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2020-01-24Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.C – Minimal Harm Potential
2020-01-24Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.C – Minimal Harm Potential
2020-01-24Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.C – Minimal Harm Potential
2020-01-24Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.C – Minimal Harm Potential
2020-01-24Emergency Preparedness DeficienciesDevelop a communication plan.C – Minimal Harm Potential
2020-01-24Emergency Preparedness DeficienciesList the names and contact information of those in the facility.C – Minimal Harm Potential
2020-01-24Emergency Preparedness DeficienciesProvide emergency officials' contact information.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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