Jefferson Healthcare Center

In the surveyor’s words

From the most serious findings on record at Jefferson Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Jan 25, 2023

  Based on record reviews, interviews, and observations, the facility failed to: 1.Ensure oxygen cylinders were stored and secured in a manner that prevented the potential for serious harm or injury for 4 residents (Resident #9, Resident #10, Resident #11, and Resident #12) out of the 34 residents that required oxygen as identified on the oxygen Physician Orders List and; 2. Ensure residents who were identified as unsafe smokers did not have access to smoking materials for 3 (Resident #6, Resident #7, and Resident #8) out of 9 unsafe smokers identified on the Unsafe Smoker List. The deficient practice resulted in an Immediate Jeopardy (IJ) situation on 01/23/2023 at 2:15 p.m. […]

• Immediate jeopardy, widespreadF835Jan 25, 2023

  Based on interviews the facility failed to administer its resources effectively and efficiently by failing to: 1. Ensure oxygen cylinders were stored and secured in a manner that prevented the potential for serious harm or injury for 4 residents (Resident #9, Resident #10, Resident #11, and Resident #12) out of the 34 residents that required oxygen as identified on the oxygen Physician Orders List and; 2. Ensure residents who were identified as unsafe smokers did not have access to smoking materials for 3 (Resident #6, Resident #7, and Resident #8) out of 9 unsafe smokers identified on the Unsafe Smoker List. […]

• Immediate jeopardy, patternF689May 24, 2023

  Based on record reviews, interviews, and observations, the facility failed to: 1. Ensure residents (Resident #143 and Resident #132), with a known history of unsafe, smoking were supervised while smoking; and, 2. Ensure residents who were identified as unsafe smokers, did not have access to smoking materials for 4 (Resident #41, Resident #109, Resident #132, Resident #143) of 4 unsafe smokers reviewed for safe smoking. The facility documented 13 residents that were unsafe smokers. […]

• Immediate jeopardy, patternF835Aug 4, 2022

  Based on interviews, the facility failed to administer its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by failing to; 1) Ensure the safety of an unsafe smoker (Resident #6) and, 2) Take steps to prevent transmission of COVID-19 by allowing COVID-19 positive staff to work with COVID-19 negative residents before completing Center for Disease Controls (CDC) Return to Work Criteria. […]

• Immediate jeopardy, patternF880Aug 4, 2022

  Based on record review and interview, the facility failed to take actions to help prevent the transmission of COVID-19 to 7 random (R1, R2, R3, R4, R5, R8, R9) sampled residents reviewed for COVID-19 infection control. The facility failed to; 1. Ensure staff who test positive for COVID-19 were immediately removed from the facility, and not allowed to work with COVID-19 negative residents; and, 2. Ensure that staff, who tested positive for COVID-19, did not return to work if they did not meet Centers for Disease Control and Prevention (CDC) return to work criteria. […]