Jones Co Rest Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 27, 2026

  Based on interviews, observation, record review, facility investigation review, and facility policy review, the facility failed to provide adequate supervision to prevent Resident #1 and Resident #2 from eloping from the facility on 5/18/26 at 5:41 PM. The facility staff did not know that Resident #1 and Resident #2 were out of the facility on the facility grounds for 11 minutes. This concern was identified for two (2) of eight (8) residents reviewed for diagnoses of Alzheimer's disease and dementia (Resident #1 and Resident #2). […]

• Actual harm, isolatedF656Mar 20, 2025

  Based on interview, record review, and facility policy review the facility failed to develop and implement a comprehensive, person-centered care plan and individualized interventions, as evidenced by not addressing ongoing behavioral symptoms and providing individualized comfort care interventions, despite a known history of psychotic and aggressive behaviors, which resulted in Resident #10 having frequent behavioral episodes, refusal of medications and food, and frequent combative interactions with staff.for one (1) of twenty-three (23) residents reviewed for care planning. Resident #10 Findings include: A review of the facility's policy titled, MDS (Minimum Data Set), CAA (Care Area Assessments), and Care Plan Documentation Policy, with a reviewed date of 01/24/24, revealed, . […]

• Actual harm, isolatedF740Mar 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure the ongoing provision of behavioral health services for a cognitively impaired resident with severe, escalating behaviors following discharge from a behavioral health unit and despite continued aggression, delusions, and medication refusal, the facility discontinued behavioral health services without a documented rationale, contributing to ongoing physical aggression toward staff and others for one (1) of 23 sampled residents. […]

• No harm, potential for more than minimal, widespreadF812Oct 26, 2023

  Based on observation, staff interviews and facility policy review, the facility failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by date, food items not discarded by the use-by date, spoiled foods not discarded, food items without an identifying label, food items improperly stored, and food items opened and not sealed for one (1) of three (3) kitchen observations and had the potential to affect all residents who receive food items from the kitchen. Findings Include: A review of the facility's policy, Food and Supply Storage, revised ,d+[DATE], revealed, . […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2021

  Based on observation, staff interviews, and facility policy reviews, the facility failed to properly sanitize the food processors for pureed diets which could affect 11 of 11 residents receiving puree diets for one (1)of three (3) days survey. Findings include: Review of the facility policy titled Dietary Employee Hygiene and Personal Cleanliness, revealed, Purpose: To maintain a high level of sanitation during all activities in the food service area .Test solutions with test strips regularly to ensure that they are maintaining the proper strength of sanitizer for food contact surfaces .Concentration - not using enough sanitizing agent will result in an inadequate reduction of microorganisms. […]