Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265762

St Joseph Manor Health & Rehabilitation

59 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $10,414.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
59
Total citations
32
Last 3 years
4
Actual harm+
1
Federal penalties
$10,414
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care14 Resident Rights11 Nutrition & Dietary11 Medication & Pharmacy7 Care Planning6

Most common F-tags at this facility

F8803 F8043 F8123 F6772 F6952

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Dec 16, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Mar 21, 2025F881Implement a program that monitors antibiotic use.DStandard
Mar 21, 2025F880Provide and implement an infection prevention and control program.FStandard
Mar 21, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Mar 21, 2025F758Implement 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.EStandard
Mar 21, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Mar 21, 2025F641Ensure each resident receives an accurate assessment.EStandard
Feb 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 29, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 29, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jan 29, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard
Jan 29, 2024F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FStandard
Jan 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 29, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Jan 29, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Jan 29, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 29, 2024F761Ensure 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.EStandard
Jan 29, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Jan 29, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 29, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Jan 29, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard
Jan 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jan 29, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 29, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Jan 29, 2024F572Give residents a notice of rights, rules, services and charges.EStandard
Jan 29, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jan 29, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Sep 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 24, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
May 24, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
May 24, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint
Jun 15, 2021F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
Jun 15, 2021F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jun 15, 2021F880Provide and implement an infection prevention and control program.DStandard
Jun 15, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 15, 2021F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FStandard
Jun 15, 2021F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jun 15, 2021F761Ensure 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.EStandard
Jun 15, 2021F760Ensure that residents are free from significant medication errors.DStandard
Jun 15, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
Jun 15, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jun 15, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 15, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 15, 2021F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 15, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 15, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 15, 2021F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jun 15, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 15, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jun 15, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 15, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 15, 2021F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jun 15, 2021F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jun 15, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 15, 2021F584Honor 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.EStandard
Jun 15, 2021F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jun 15, 2021F578Honor 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.EStandard
Jun 15, 2021F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $10,414 .

DateTypeFinePayment denial
Jan 29, 2024Fine$10,414—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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