Bethany St Joseph Care Ctr

In the surveyor’s words

From the most serious findings on record at Bethany St Joseph Care Ctr, in the surveyor’s own words.

• Actual harm, isolatedF686Jun 19, 2025

  Example 3R50 was admitted to the facility on [DATE], and has diagnoses that include acute kidney failure, neuromuscular dysfunction of the bladder, type 2 diabetes mellitus, and cellulitis of buttock. R50 developed his pressure wound after admission.R50's MDS, dated [DATE], indicates that R50 is moderately cognitively impaired. R50's MDS shows that he requires substantial/maximal assist for hygiene and personal cares and is dependent for mobility.R50's physician orders dated 3/7/25 and 5/2/2025, state Encourage resident to lay down for at least 1 hr. on his SIDE between meals to offload pressure to buttocks twice a day AM PM. R50's Treatment Record (E-TAR) printed 6/17/25, shows the order was first implemented 5/23/25. […]

• No harm, potential for more than minimal, widespreadF812Jun 19, 2025

  Based on observation, policy review, and interview, the facility failed to store, prepare, distribute and serve food in a manner that prevents foodborne illness to the residents. Male staff with facial hair did not wear beard restraints when over hot foods. This has the potential to affect all 68 residents in the facility. Findings: Facility policy titled, Dress Code revised 10/9/2010 and implemented July 2025 stated in part: .Hair .Mustaches and beards must be neat, clean and trimmed. If length is longer than 1/2-inch employee must wear a beard guard (per State regulations) . On 06/17/25 at 11:05 AM, Surveyor observed Nutrition Services (NS) E and NS F monitoring the temperature of hot foods with no beard restraints. […]

• No harm, potential for more than minimal, widespreadF583Mar 15, 2023

  Based on observation and interview, the facility did not ensure the resident's right to personal privacy during a medical provider interview for 1 of 15 residents (R21). This is evidenced by: The facility policy entitled, Our Resident's Health Information is Confidential and on a Need to Know Basis reads in part, .protect resident's medical information from those who do not need to know the information . R21 was admitted to the facility on [DATE]. On 03/14/23 at 1:45 p.m., R21 along with eight other residents were attending the activity of hangman using a portable whiteboard led by Recreational Therapy Assistant (RTA) J. The activity was conducted in the Westview Lounge. […]

• No harm, potential for more than minimal, widespreadF812Mar 15, 2023

  Based on observations and interviews, the facility did not serve food in accordance with professional standards for food service safety. This has the potential to affect all 54 residents in the facility. Kitchen staff were observed changing gloves and not handwashing and touching ready to eat foods. Staff were observed opening straws for residents and touching the straw with their hands. Findings include: The facility policy, entitled Hand Washing Guide reads in part Hand hygiene must be performed after removing gloves. On 03/13/23 at 11:42 AM, Surveyor observed dining assistant (DA) H passing out waters to residents(R). […]

• No harm, potential for more than minimal, widespreadF921Dec 1, 2021

  Based on observation and interview, the facility did not provide a safe, sanitary, and comfortable environment for residents, staff, and the public due to multiple areas of ceiling damage throughout the hallways and common areas of the building. This has the potential to affect all 74 residents in the building. Findings include: Over the three-day survey from 11/29/21 through 12/01/21, all 5 surveyors observed multiple areas on the ceilings in hallways and common areas of the building that had the following concerns: There were areas of the ceiling where the popcorn textured coating was bubbled, cracked, loose, hanging down, and some areas appeared to be ready to fall off the ceiling. Many areas were noted to have the popcorn texture missing with bare sheet rock or wall board exposed. […]