ST. JOSEPH VILLA
The information listed below provides an in-depth look into the type and quality of care offered at St. Joseph Villa. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
ST. JOSEPH VILLA
451 EAST BISHOP FEDERAL LANE
SALT LAKE CITY, UT 84115
(801) 487-7557
451 EAST BISHOP FEDERAL LANE
SALT LAKE CITY, UT 84115
(801) 487-7557
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
79%Number of Residents and Certified Beds
- Residents: 174
- Certified Beds: 221
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Church Related
- Offers Only Resident Counseling
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by St. Joseph Villa. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 2.0% |
| Total Percent: | 2.0% |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.7% |
| Total Percent: | 0.7% |
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.9% |
| Total Percent: | 0.9% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 3.1% |
| ADL Index Range: 6-10 | 41.2% |
| ADL Index Range: 0-5 | 10.9% |
| Total Percent: | 55.2% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.0% |
| ADL Index Range: 6-10 | 14.3% |
| ADL Index Range: 0-5 | 0.3% |
| Total Percent: | 17.6% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.9% |
| ADL Index Range: 6-10 | 1.4% |
| ADL Index Range: 0-5 | 2.1% |
| Total Percent: | 7.3% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 1.6% |
| ADL Index Range: 6-10 | 4.2% |
| ADL Index Range: 0-5 | 1.0% |
| Total Percent: | 6.8% |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-16 - Tracheostomy care or ventilator/respirator | 3.4% |
| ADL Index Range: 2-16 - Isolation for active infectious disease | 2.4% |
| Total Percent: | 5.8% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 0.5% |
| ADL Index Range: 6-10 - No Signs of depression | 0.5% |
| Total Percent: | 1.0% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 6-10 - No Signs of depression | 0.4% |
| ADL Index Range: 2-5 - No Signs of depression | 1.0% |
| Total Percent: | 1.4% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 6-10 - Less restorative nursing | 1.4% |
| Total Percent: | 1.4% |
Rating Details For St. Joseph Villa
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 2 Minutes | 57 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 38 Minutes | 36 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 21 Minutes | 2 Hours and 36 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 40 Minutes | 1 Hour and 32 Minutes |
| Total Nurse Hours | 5 Hours | 4 Hours and 8 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Utah are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Utah Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 72% | 91% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 86% | 92% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 16% | 22% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 61% | 50% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 6% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 11% | 15% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 11% | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 10% | 9% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 11% | 9% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 13% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 5% | 4% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 5% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 89% | 89% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 89% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 6% | 36% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 4% | 12% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/11/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Give or Get Lab Tests to Meet the Needs of Residents.
|  |  |
Keep Accurate and Appropriate Medical Records.
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Post Nurse Staffing Information.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Get Rid of Garbage Properly.
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Provide Needed Housekeeping and Maintenance.
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Get Rid of Garbage Properly.
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Have a Program to Keep Infection from Spreading.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
| | |
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Provide Activities to Meet the Needs of Each Resident.
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Resident Assessment
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Resident Rights
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for St. Joseph Villa, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Keep Safe, Clean and Homelike Surroundings.
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Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that St. Joseph Villa had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/17/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Properly Constructed Linen or Trash Chutes.
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Properly Constructed Linen or Trash Chutes.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Properly Located and Lighted "Exit" Signs.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Properly Located and Lighted "Exit" Signs.
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Interior Finish
Fire-Resistant Interior Walls.
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Fire-Resistant Room Wall Surfaces.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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No-Smoking Signs Where Oxygen is Used.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Vertical Openings
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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Source: Medicare Nursing Home Compare; Dept of Health of Utah - Bureau of Medicare/Medicaid Program-Certification and Resident Assessment - Retrieved 2011
