Jackson Memorial Long Term Care Center

In the surveyor’s words

From the most serious findings on record at Jackson Memorial Long Term Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 27, 2026

  Based on observations, records reviewed and interviews, the facility failed to provide adequate supervision to prevent falls for one resident (Resident #1) out of three sampled residents reviewed for accidents and falls during a complaint investigation survey. Resident #1 a newly admitted , vulnerable and cognitively impaired had an assigned one to one (1:1) sitter was left unsupervised exited the facility through an emergency exit door descending a flight of stairs. Staff found Resident #1 at the bottom of the stairs (8 steps total) with abrasions to the bridge of the nose, right hand, and forehead. There were 172 residents residing in the facility during the survey. […]

• Actual harm, isolatedF689Mar 15, 2023

  Based on observation, record review and interview the facility's staff failed to ensure safety measures were implemented to prevent potential hazards and accidents that may cause harm and or injury for one resident (Resident # 1) out of three resident reviewed for accidents as evidenced by the Certified Nursing Assistant (CNA) Staff D failed to use safety measures while providing care to the resident, resulting in the resident falling off the bed and sustaining a fracture to the left leg and laceration to the forehead that required hospitalization . […]

• No harm, potential for more than minimal, patternF689Aug 14, 2025

  Based on observation, record review, and interview, the facility failed to provide a safe environment free of potential accidents and hazards for all residents residing in the facility by failing to implement the facility's policy related to accident and hazards for five (Resident #57,Resident #68, Resident #47, Resident #112 and Resident #150) out of 45 residents sampled in the facility; as evidence by: 1) Resident #57's side rail padding was observed on the outer side of the bed rail 2) a bladed box cutter was a observed on Resident # 68's bedside table, 3) No safety floor mat on the left side of Resident # 47's bed, 4) Resident # 112 had no safety floor mat to the right side of the bed and 5) a pack of cigarettes observed in Resident #150's pant pocket. […]

• No harm, potential for more than minimal, patternF812Feb 26, 2021

  Based on observation, interview and record review, the facility failed to store and handle food in accordance with required professional standards for food service as evidenced by, 1) failed to sanitize the thermometer before food temperatures were taken, 2) failed to discard prepared food that was touched by hand during the checking of food temperature; 3) disrepair of the ceiling tile over the food storage, and 4) failed to ensure the kitchen's exhaust vent was kept clean as evidenced by vent noted to be visibly soiled and discolored. These deficient practices have the potential to affect one-hundred and eight residents eating by mouth, out of one-hundred sixty-eight residents living in the facility during this survey. […]

• No harm, potential for more than minimal, isolatedF690Aug 14, 2025

  Based on observations, record review and interviews, the facility failed to properly position an indwelling urinary tubing to facilitate the flow of urine for one (Resident #46) out of one sampled resident with an indwelling urinary catheter, as evidenced by Resident #46's indwelling catheter tubing was positioned above bladder and kinked. This deficient practice prevented the free flowing of urine that would be accumulated in the bladder causing discomfort and increasing the risk for catheter-associated urinary tract infections and other serious medical issues. […]