The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

ST JOSEPH'S HOSPITAL, INC 555 ST JOSEPH'S BLVD ELMIRA, NY 14902 March 11, 2015
VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES Tag No: A0749
Additional Survey Findings:

Based on personnel record review, facility policy and procedures, and interview revealed 5 out of 8 employees did not have a record of their annual health evaluation in 2014. Additionally, the same employees did not have a current 2014 Mantoux test for tuberculosis.

Findings include:

Review of staff members ' health records on 3/10/15 revealed 5 out of 8 employees did not have a record of an annual health evaluation in 2014. Additionally, 5 out of 8 employees did not have a current Mantoux Test for 2014. (Staff #3, 12, 13, 14, 15).

Interview with Staff #7 System Director Health Information on 3/10/15 revealed documentation of an annual health assessment and Mantoux Test was not present for Staff # 3, 12, 13, 14 and 15.

Review of Policy Title Employee Health Services: Policy #HR.600, Date of revision 3/13.
B. Employee Annual Physical Reassessment.
Each employee ' s health status will be reassessed yearly on the anniversary of their employment and will include the following.
1. Health questionnaire to update the employee ' s established medical history.
2. Mantoux test for tuberculosis
If the annual reassessment form is not returned within the allotted time, a notice will be sent to the employee supervisor to follow the disciplinary process and suspend the employee until they complete the annual reassessment process according to policy #HR250