St Joseph'S Ministries

331 South Seton Avenue
Emmitsburg, MD 21727
Frederick County
Phone: 301-447-7000
Provider Number: 215267
Last Inspection: 02/12/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
99
Number of Residents
Number of
Residents
95
Number of Beds Available
Beds Available
4
Percent Occupancy
Percent Occupancy
96%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Church related
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • MD
  • USA
  • 53
  • 28
  • 26
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2013
  • 2012
  • 53
  • 32
  • 30
Lower Numbers are Better

Details by Inspection Date

 

2/12/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Isolated : Immediate 5 4/8/2015
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 4/8/2015
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/27/2015
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 4/8/2015
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 4/8/2015
Failed To: Maintain 15 months of resident assessments in the resident's active clinical record. Pattern : Minimal 4 4/27/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/8/2015
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 4/8/2015
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread : Minimal 5 4/8/2015
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 4/27/2015
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 4/27/2015
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 4/8/2015
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 4/8/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/27/2015
 

12/19/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 2/19/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/19/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 2/19/2014
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Pattern : Minimal 4 2/19/2014
Failed To: Hire sufficient dietary support personnel. Isolated : Minimal 3 2/19/2014
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 2/19/2014
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 2/19/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/19/2014
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 2/19/2014
 

10/15/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Isolated : Minimal 3 12/6/2012
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 12/6/2012
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/6/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/6/2012
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/6/2012
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/6/2012
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 12/6/2012
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 12/6/2012
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 12/6/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

6/17/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Isolated : Minimal 3 7/31/2014
 

4/11/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 5/11/2014
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Potential 3 5/11/2014
 

3/12/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Pattern : Minimal 4 3/29/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MD State Avg
Number of Residents 95 103.78 107.79
Registered Nurses 1.07 1.04 0.98
Licensed Practical / Vocational Nurses 0.91 0.75 0.85
Certified Nursing Assistants 2.83 2.33 2.37
Total Staff Hours 4.80 4.12 4.20

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MD State Avg%
High Risk Long Stay Residents With Pressure Ulcers 7 6 6
Long Stay Residents Experiencing One or More Falls with Major Injury 3 4 2
Long Stay Residents Who Have Depressive Symptoms 0 3 4
Long Stay Residents Who Lose Too Much Weight 6 6 6
Long Stay Residents Who Received an Antipsychotic Medication 10 12 14
Long Stay Residents Who Self Report Moderate to Severe Pain 4 7 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 6 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 1 4
Long Stay Residents Who Were Physically Restrained 0 1 0
Long Stay Residents Whose Need for Help with ADLs has Increased 13 19 18
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 2
Long Stay Residents With a Urinary Tract Infection 5 5 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 58 60 57
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 36 16 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 3 14 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 3 13 16
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 0