Spjst Rest Home 3

Inspection findings

1. Sep 18, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

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

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0325 Smoke Deficiencies

     Have properly installed hallway dispensers for alcohol-based hand rub.

     Corrected Sep 18, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Sep 17, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Sep 17, 2025 · CMS fire safety

2. Aug 2, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 25, 2025 · CMS health inspection

3. Aug 8, 2024 Health · 4 findings
   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Sep 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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 Sep 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Aug 7, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Aug 7, 2024 · CMS fire safety

4. Jun 22, 2023 Health · 4 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jun 30, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Jun 30, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 30, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jun 30, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BARKER, BRUCE — adp of the snf, NOT APPLICABLE, since 06/01/2021
• BARKER, BRUCE — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 06/01/2021
• LESHIKAR, HOWARD — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/13/2025
• TABLER-SMITH, ROWENA — adp of the snf, NOT APPLICABLE, since 06/01/2021
• TEPLICEK, BEVERLY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/13/2025
• VARTA, VALERIE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/13/2025
• VICTORICK, DONNIE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/13/2025
• OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 06/01/2021
• SPJST REST HOME — adp of the snf, NOT APPLICABLE, since 06/01/2021
• SPJST REST HOME — 5% or greater security interest, NOT APPLICABLE, since 06/01/2021
• SPJST REST HOME — operational/managerial control, NOT APPLICABLE, since 06/01/2021