Jasper Point of Journey LLC

In the surveyor’s words

From the most serious findings on record at Jasper Point of Journey LLC, in the surveyor’s own words.

• Actual harm, isolatedF656May 22, 2022

  Based on observation, record review, staff and resident interviews, and review of the facility policy titled Comprehensive Care Plan, the facility failed to follow the person-centered care plan to ensure pain interventions were implemented during wound care for one resident (R) (#43), resulting in harm to the resident, of 30 sampled residents. Findings include: A review of the facility policy, Comprehensive Care Plans, implemented 2/1/22, revealed the facility would implement a comprehensive person-centered for each resident, consistent with resident rights, to meet each resident medical and nursing needs. […]

• Actual harm, isolatedF697May 22, 2022

  Based on observation, record review, staff and resident interviews, and review of facility policy titled Pain Management, the facility failed to stop and address one resident's expression of severe pain during a wound treatment, resulting in harm for resident #43, of 30 sampled residents. Findings include: A review of the facility policy, Pain Management, implemented 2/2/22, revealed the facility would recognize circumstances and situations when a resident's pain could be anticipated. Per the policy, the facility would manage or prevent pain with the comprehensive plan of care, professional standards of practice, and the resident's preferences. […]

• No harm, potential for more than minimal, widespreadF880Nov 21, 2025

  Based on observations, staff interviews, record review, facility policy review, and review of Centers for Disease Control and Prevention (CDC) guidance, the facility failed to establish and maintain an infection prevention and control program (IPCP) for recording incidents of infections identified under the facility's IPCP, surveillance, tracking and trending, and the corrective actions taken by the facility and failed to ensure heavy duty gloves were available for the laundry room for 49 of 49 census residents. […]

• No harm, potential for more than minimal, widespreadF725Jul 21, 2024

  Based on record review, staff interviews, and review of facility documents titled, Facility Assessment Tool and the PBJ (payroll-based journal) Staffing Data Report, the facility failed to ensure that the facility had adequate nursing staff on the weekends. The deficient practice had the potential to affect the care provided to the 51 residents that resided in the facility. Findings include: Review of The Facility Assessment Tool dated 4/17/2024 revealed the average daily census in the facility was 57 residents. The Facility Assessment Tool documented the average hourly staffing needs per day were 36 - 48 hours for licensed nurses providing direct care, and 105 - 120 hours for nurse aides. […]

• No harm, potential for more than minimal, widespreadF908Jul 21, 2024

  Based on observations and staff interviews, the facility failed to maintain the walk-in freezer in a manner to prevent ice buildup from forming on the freezer unit. This failure had the potential to contaminate food items located under the ice and place the 51 residents receiving an oral diet from the kitchen at risk of contracting a foodborne illness. The facility census was 51. Findings include: Observation of the walk-in freezer on 7/19/2024 at 8:00 am revealed ice formations hanging from the freezer unit located to the left side of the door. The ice formations ranged in size from 6 inches in diameter at the top to less than 1 inch in diameter at the floor and were observed on the shelving below the freezer unit and the freezer floor. […]