Jerome Home

In the surveyor’s words

From the most serious findings on record at Jerome Home, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 3, 2024

  Based on clinical record reviews, review of facility documentation and policies, and interviews for one (1) of three (3) sampled residents (Resident #1) who required staff assistance of one (1) when ambulating, the facility failed to utilize a gait belt when ambulating Resident #1 resulting in a fall and left lower leg fractures. The findings include: Resident #1's diagnoses included acute respiratory failure, weakness, difficulty walking, osteoporosis and generalized osteoarthritis. […]

• No harm, potential for more than minimal, patternF804Feb 10, 2025

  Based on a tour of the Dietary Department, interviews and facility documentation, the facility failed to ensure foods were at appropriate temperatures for palatability. The findings included: Interview with Resident #83 on 2/3/25 at 11:17 AM identified that food was sometimes cold. Interview with Resident #28 on 2/3/25 at 11:45 AM identified that hot food was often served cold. Interview with Resident #33 on 2/3/25 at 2:51 PM identified that hot food comes cold by the time he/she receives the meal. Interview with Resident #22 on 2/3/25 at 3:12 PM identified that the food was not tasting good. […]

• No harm, potential for more than minimal, patternF812Jan 31, 2023

  Based on observations, facility documentation review, facility policy review, and interviews for two of four sanitizing solutions in the kitchen, the facility failed to maintain the sanitizing solutions at sanitary levels. The findings include: 1a. Observation on 1/25/23 at 10:00 AM of the kitchen identified a red plastic bucket, labeled the bucket contained a sanitizing solution on a food preparation table in the middle of the kitchen. The bucket contained a liquid and 2 wiping cloths. The Director of Dietary identified the bucket in use contained a sanitizing solution. […]

• No harm, potential for more than minimal, isolatedF656Jul 25, 2025

  Based on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #3) reviewed for falls, the facility failed to ensure the resident had a fall care plan with interventions when identified as a high risk for falls. The findings include:Resident #3 was admitted to the facility on [DATE] with diagnoses that included left artificial hip joint, type II diabetes and Alzheimer's disease. The Resident Care Plan (RCP) dated 1/19/25 identified Resident #3 needed assistance with activities of daily living (ADL) skills due to physical and mental impairments, recent hospitalization and deconditioning. […]

• No harm, potential for more than minimal, isolatedF580Feb 10, 2025

  Based on interviews, review of the clinical record, and facility policy for 1 of 2 residents (Resident #343) reviewed for transmission-based precautions, the facility failed to notify the social worker, physician, and psychiatrist after a suicidal ideation statement was made, per the facility policy. The findings included: Resident #343 was admitted to the facility on [DATE] with diagnoses that included homicidal ideation, sepsis, chronic combined systolic and diastolic heart failure, and muscle weakness. […]