Jesup Ridge of Journey LLC

In the surveyor’s words

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

• Immediate jeopardy, patternF600Nov 18, 2024

  Based on interview, record review, document review, and facility policy review, the facility failed to protect a resident's right to be free from sexual, verbal, and physical abuse by a resident. Specifically, the facility failed to protect Resident #7, who was cognitively impaired and wandered in the facility from sexual abuse by Resident #6, who had a history of sexually inappropriate behavior. On 10/18/2024, when staff were unable to locate Resident #7, they initiated a search and found the resident in Resident #6's bathroom seated on the toilet. Resident #6 stood in front of Resident #7 unclothed from the waist down with their genitals in their hand. […]

• Immediate jeopardy, patternF609Nov 18, 2024

  Based on interview, record review, and facility policy review, the facility failed to report allegations of abuse to the state survey agency. On 08/09/2024, Resident #6 was found standing over the bed of Resident #8, a cognitively impaired resident, with their genitals in their hand and expressed inappropriate sexual gestures and comments. On 09/03/2024, Resident #6 grabbed the wheelchair of Resident #10 and prevented Resident #10 from moving about in their wheelchair. On 09/18/2024, Resident #6 voiced inappropriate sexual comments to Resident #9 as Resident #9 straightened their shirt. On 10/03/2024, Resident #6 was found masturbating in the doorway of Resident #2's room. These deficient practices affected 4 (Residents #2, #8, #9, and #10) of 15 sampled residents reviewed for abuse. […]

• Immediate jeopardy, patternF610Nov 18, 2024

  Based on interview, record review, document review, and facility policy review, the facility failed to thoroughly investigate an allegation of sexual abuse perpetrated by a resident. Specifically, on 10/18/2024, when staff were unable to located Resident #7, a cognitively impaired resident who wandered in the facility, staff initiated a search and found Resident #7 in Resident #6's bathroom seated on the toilet. Resident #6, who had a history of sexually inappropriate behavior, stood in front of Resident #7 unclothed from the waist down with their genitals in their hand. […]

• Immediate jeopardy, patternF835Nov 18, 2024

  Based on interview, record review, and facility policy review, the facility Administrator, who was responsible for the day-to-day operations of the facility, failed to provide oversight to ensure the abuse policy was implemented when a resident, with a history of sexually inappropriate behaviors, repeatedly exhibited verbal, sexual, and physical abuse towards other residents. Specifically, on 10/18/2024, when staff were unable to located Resident #7, a cognitively impaired resident who wandered in the facility, staff initiated a search and found Resident #7 in Resident #6's bathroom seated on the toilet. Resident #6, who had a history of sexually inappropriate behavior, stood in front of Resident #7 unclothed from the waist down with their genitals in their hand. […]

• No harm, potential for more than minimal, widespreadF812Oct 14, 2021

  Based on observations and staff interviews, the facility failed to maintain the kitchen in a sanitary manner related to grease and food on the floor, dirt buildup on the air conditioner vents, and dirt and debris on the flour bin lid. This had the potential to effect 35 residents who received an oral diet. Findings include: During initial walk through of the kitchen on 10/12/21 beginning at 9:57 a.m. with the Dietary Manager (DM) the following concerns and sanitation issues were identified: 1. The lid on the flour bin had dirt and debris. 2. There were 4 crates (with boxes of food stored on top of the crates) covered in dirt, debris, and sticky brown substances located in the walk-in pantry. 3. […]