Jeanne Jugan Residence

In the surveyor’s words

From the most serious findings on record at Jeanne Jugan Residence, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 9, 2024

  Based on observations and staff interview, facility staff failed to distribute foods under sanitary condi-tion, as evidenced by dishwashing machine final rinse temperatures that were below 180 degrees Fahrenheit (F), and dietary logs that were not consistently maintained to indicate the concentration of the sanitizing solution from one (1) of one (1) 3-compartment sink. The findings include: 1. Final rinse dishwashing machine temperatures failed to reach 180 degrees Fduring observations on April 4, and April 5, 2024. Facility staff used paper plates for dinner meals on April 4, 2024, and for all meals on April 5, 2024. Final repairs of the dishwashing machine were completed on April 5, 2024, at approximately 3:00 PM, when the final rinse temperature reached 192 degrees F . […]

• No harm, potential for more than minimal, patternF908Apr 9, 2024

  Based on observations and staff interview, facility staff failed to maintain essential equipment in safe operating condition, as evidenced by final rinse temperatures that were below 180 degrees on April 4, 2024, at 9:15 AM and 10:40 AM. The findings include: During observations in dietary services on April 4, 2024, at 9:15 AM, and 10:40 AM, final rinse temperatures from the dishwashing machine did not reach a minimum of 180 degrees as required. The machine was repaired on April 5, 2024, at approximately 3:00 PM. During a face-to-face interview on April 8, 2024, at approximately 2:00 PM, Employee #5 acknowledged the findings.

• No harm, potential for more than minimal, isolatedF609May 30, 2025

  Based on record review and staff interviews, for two (2) of 15 sampled residents, facility staff failed to identify and report an alleged incident of resident-to-resident abuse. Residents #15 and #25. The findings included: Review of the facility's Abuse, Neglect, Mistreatment and Misappropriation of Resident Property policy dated January 2025 documented: - Abuse can include verbal, mental, sexual or physical abuse. - The facility will strive to educate staff and other applicable individuals in techniques to protect all parties. […]

• No harm, potential for more than minimal, isolatedF740May 30, 2025

  Based on record review and staff interviews, for one (1) of 15 sampled residents, facility staff failed to ensure that, for six (6) months, Resident #20 received the necessary behavioral health care and services as ordered by the physician. The findings included: Resident #20 was admitted to the facility on [DATE] with multiple diagnoses that included: Major Depressive Disorder, Hemiplegia and Hemiparesis Following Cerebral Infarction, Affecting Left Non-Dominant Side, and Hypothyroidism. Review of the resident's medical record showed the following: A physician's order dated 10/12/23 that directed, Lexapro oral tablet 10 MG (milligrams), give 1 tablet by mouth one time a day for Major Depressive Disorder. […]

• No harm, potential for more than minimal, isolatedF757May 30, 2025

  Based on record review and staff interview for two (2) of 15 sampled residents, it was determined that facility staff failed to act upon the Pharmacist's report and recommendation and document in the resident's record any action that had been taken to address the recommendation(s) and failed to ensure one resident's medication order was complete with an indication for use for the twice daily administration of an Opioid medication. Residents #16 and #18. The findings included: Facility's document titled 'Medication Regimen Review' with a reviewed date of 08/2018 documented: It is the policy of this Home that each resident will have a medication regimen review by a licensed pharmacist in accordance to Federal, State and Local regulations as well as current standards of practice. […]