Jamestown Place Health and Rehab

In the surveyor’s words

From the most serious findings on record at Jamestown Place Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure food and beverage items were stored appropriately in the kitchen. This had the potential to affect 29 of 29 residents who eat food from the facility kitchen. The census was 29. Findings Include:Observation on 08/06/26 at 8:23 A.M. of the kitchen revealed the following items in the walk-in refrigerator: two unopened gallons of 2 percent (%) milk with a sell by date of 08/05/26, one opened gallon of 2% milk with a use by date of 08/05/26, one container of sausage patties labeled with an in date of 08/02/26 and an out date of 08/04/26, one container labeled ham 07/30/26, and one container labeled chicken tenders 07/30/26.Interview on 08/06/26 at 8:23 A.M., with [NAME] #103 confirmed the milk and sausage… […]

• No harm, potential for more than minimal, widespreadF921Nov 3, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to maintain safe clean environment. This had the potential to affect all 30 residents. The facility census was 30.Findings Included: Observation on 10/30/25 at 2:23 P.M. in [NAME] hallway there was staining on the ceiling tile around the water sprinkler which was located close to the nurse's station.Interview on 10/30/25 at 2:23 P.M. with Certified Nurse Assistant (CNA) #135 verified there was staining on the ceiling around the water sprinkler down [NAME] hallway.Observation on 10/30/25 at 2:27 P.M. […]

• No harm, potential for more than minimal, widespreadF882Oct 4, 2022

  Based on record review and staff interviews, the facility failed to ensure the appointed Infection Preventionist had proper infection prevention and control training and certification. This had the potential to affect all the residents in the facility. The facility census was 40. Finding include: Record review revealed the Director of Nursing (DON) was the Infection Preventionist for the facility. Further record review revealed the DON had not completed specialized training in infection prevention and control. Interview on 09/29/22 at 9:33 A.M. with DON confirmed she was the appointed Infection Preventionist in the facility to manage the Infection Prevention Control Program (IPCP). The DON confirmed she had not completed specialized training in infection prevention and control. […]

• No harm, potential for more than minimal, widespreadF880Mar 2, 2021

  Based on observation, review of the facility's policy, staff interviews, and review of the Center for Disease Control and Prevention (CDC) guidance, the facility failed to implement proper infection control practices including ensuring the staff wore a N-95 mask prior to entry into the quarantine unit to prevent the spread of the COVID-19. The facility also failed to disinfect their eye protection when leaving a resident's room on quarantine status. This affected three (#10, #11, and #13) of three residents observed for infection control, with potential to affect all 28 residents who resided in the facility. Findings include: Review of the facility's list of residents on quarantine revealed Resident #10, #11, and #13 resided on the quarantine unit and were in quarantine status. […]

• No harm, potential for more than minimal, patternF638Jan 27, 2026

  Based on medical record reviews, staff interview, and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to complete Minimum Data Set (MDS) assessments per RAI guidelines. This affected five (#02, #04, #17, #19, and #29) out of sixteen residents reviewed. The facility census was 30. 1)Review of the medical record for Resident #02 revealed an admission date of 11/05/20 with medical diagnoses of end stage renal disease (ESRD), congestive heart failure (CHF), anxiety disorder, hypertension (HTN), and dementia. Review of the medical record for Resident #02 revealed a quarterly MDS assessment, with assessment reference date (ARD) 11/01/25. Review of the MDS assessment revealed the assessment was completed on 11/17/25. […]