Job Haines Home For Aged People

In the surveyor’s words

From the most serious findings on record at Job Haines Home For Aged People, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF638Jun 16, 2026

  Based on interview, record review, and review of pertinent facility documents it was determined that the facility failed to ensure a quarterly assessment was completed within 14 days. The deficient practice was identified for 1 of 4 residents (Resident # 44) reviewed for the Resident Assessment Task. The deficient practice was evidenced by the following: A review of Resident # 44's Electronic Medical Record under MDS [Minimum Data Set; an assessment tool] revealed a Quarterly Assessment with an Assessment Reference Date of 05/14/2026 that was found to be in an incomplete status. On 06/15/2026 at 12:18 PM during an interview with the surveyor, the MDS Coordinator confirmed the surveyor's finding that Resident # 44's MDS Quarterly Assessment was not completed or transmitted. […]

• No harm, potential for more than minimal, isolatedF641Apr 4, 2025

  Based on observation, interview, and record review it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, in accordance with federal guidelines for 1 of 5 residents, Resident #9, reviewed for immunization status. This deficient practice was by the following: Reference: A review of the CDC's Advisory Committee on Immunization Practices (ACIP) for Pneumococcal Vaccine Recommendations dated/last reviewed on 10/26/24, included the following. […]

• No harm, potential for more than minimal, isolatedF755Feb 22, 2023

  Based on observation, interview, and record review, it was determined the facility failed to a) reconcile, identify and remove three of the expired medication intravenous medication supply set (IV set) located in the bottom of a medication cart observed in 1 of 1 of the subacute unit; b) ensure the accurate execution of a Drug Enforcement Agency (DEA) Form 222 (a federal narcotic requisition form), to enable accurate reconciliation of controlled-dangerous substances (medications, with high potential for abuse and tracked with detail), which was identified in 1 of 1 form reviewed. […]

• No harm, potential for more than minimal, isolatedF761Mar 15, 2021

  Based on observation and interview it was determined that the facility failed to ensure that controlled substances were stored in a manner to prevent loss or diversion. This was found in 2 of 2 medication refrigerators. The deficient practice was evidenced by the following: 1. On 3/10/21 at 1:29 PM, the surveyor inspected the medication refrigerator in the medication room on the first floor in the presence of the Unit Manager, Registered Nurse (UMRN). Inside of the refrigerator there was a locked storage box that was attached to a removable shelf. The UMRN unlocked the storage box. The storage box contained an opened bottle of [MEDICATION NAME] Concentrate (a sedative; controlled substance). The surveyor removed the shelf from the refrigerator with the locked box attached. […]

• No harm, potential for more than minimal, isolatedF812Mar 15, 2021

  Based on observation, interview, record review and policy review, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent food borne illness, b.) failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination from foreign substances and potential for the development a food borne illness, and c.) failed to discard expired nutritional supplements. This deficient practice was evidenced by the following: On [DATE] at 09:48 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. In the food preparation area, the surveyor observed keys stored on a hook touching a cleaned whisk, the FSD stated that these keys should not have been stored with the whisk. 2. […]