Jnh-Jaquith Inn

In the surveyor’s words

From the most serious findings on record at Jnh-Jaquith Inn, in the surveyor’s own words.

• Immediate jeopardy, widespreadF865Sep 10, 2021

  Based on staff interview, record review, and facility policy review, the facility failed to provide documented evidence the facility's Quality Assurance and Performance Improvement (QAPI) program identified and prioritized problems and opportunities that reflected organizational process, functions, and services provided to residents based on performance indicator data, resident and staff input, and other information. The facility failed to provide documented evidence the facility 's QAPI Program reviewed and analyzed data for concerns related to pressure ulcer documentation, missed treatments, and skin assessments prior to the State Agency (SA) entering the facility on 8/26/21, for the Extended Survey. […]

• Immediate jeopardy, patternF600Sep 10, 2021

  Based on staff interviews, resident interviews, facility policy review, and record review the facility failed to prevent the neglect of twenty (20) residents on the South Unit of the facility for six (6) hours on 7/25/21 from 4:55 PM through 11:00 PM, which resulted in Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, Resident #10, and Resident #11 not receiving medications, supervision, treatments and monitoring. The facility did not have licensed nurse coverage for twenty (20) residents on the South Unit of the facility for six (6) hours from 4:55 PM through 11:00 PM on 7/25/21. […]

• Immediate jeopardy, patternF656Sep 10, 2021

  Based on record review, facility policy review and staff and resident interviews, the facility failed to correctly document and implement residents' comprehensive person-centered Care Plans for eleven (11) out of eleven (11) residents sampled who resided on the South unit. Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, Resident #10, and Resident #11. The facility's failure to implement care plans placed residents on the South Unit at risk, and in a situation likely to cause serious injury, serious impairment, serious harm or death. […]

• Immediate jeopardy, patternF686Sep 10, 2021

  Based on observation, staff interview, record review, and facility policy review, the facility failed to prevent the development of pressure ulcers and the worsening of pressure ulcers due to pressure ulcers becoming infected for three (3) of 12 residents reviewed for pressure ulcers, Residents #1, #3, and #12. The facility's failure to assess and provide treatment resulted in Resident #1 developing four (4) new pressure ulcers and acquiring a wound infection which required debridement procedures and hospitalization . […]

• Immediate jeopardy, patternF725Sep 10, 2021

  Based on policy review, record review, staff interviews, and resident interviews the facility failed to provide sufficient qualified nursing staff to provide nursing related services to assure resident safety for one (1) of two (2) units, as evidenced by twenty (20) residents without licensed nursing services from 4:55 PM to 11:00 PM on 7/25/21 on the South Unit of the facility. Licensed Practical Nurse (LPN) #4 was scheduled to report at 3:00 PM on 7/25/21, but LPN #4 did not call in and did not arrive for her shift at the facility. Registered Nurse (RN) #1 had been scheduled to work 7:00AM until 3:30 PM on 7/25/21 and had worked since 7:00 AM and left the facility at 4:55 PM without on-site licensed nurse relief present. […]