Josephine Caring Community

In the surveyor’s words

From the most serious findings on record at Josephine Caring Community, in the surveyor’s own words.

• Actual harm, isolatedF692Jul 15, 2024

  Based on observation, interview, and record review the facility failed to consistently and accurately obtain weights, recognize significant weight loss, and provide consistent assistance with eating and cueing for 1 of 4 sampled residents (Resident 33) reviewed for nutrition. Resident 33 experienced a significant 14.6% weight loss from 05/27/2024 to 07/10/2024. This failure placed the resident at risk for further decline in their weight, unintended consequences of poor nutrition, and decreased quality of life. Findings included . Review of the facility policy titled Nutritional Management, dated 12/27/2023, showed that weekly weights would be obtained on new admissions for 4 weeks. […]

• No harm, potential for more than minimal, patternF561Jan 22, 2026

  Based on observation, interview, and record review the facility failed to ensure resident choices/preferences regarding their bathing schedule were honored for 3 of 4 sampled residents (Residents 2, 3, and 4) reviewed for choices. These failures placed the residents at risk for decreased cleanliness, increased risk of infection and diminished quality of life. Findings included .<RESIDENT 2>Resident 2 admitted to the facility on [DATE] with diagnosis to include a stroke with right side hemiplegia (paralysis to one side of the body) and hemiparesis (a condition that causes weakness or partial paralysis on one side of the body). […]

• No harm, potential for more than minimal, patternF761Sep 15, 2025

  Based on observations and interview the facility failed to ensure drugs and biologicals were stored in accordance with the state and federal laws appropriately for 1 of 2 (Rehab Unit) Medication Storage Rooms. The facility failed to ensure Schedule II-V (Substances with high potential for abuse which may lead to severe psychological or physical dependence) controlled medications were in separate locked, permanently affixed compartments not accessible to others. These failures left controlled substances unattended with potential of unauthorized access to drugs that should have been securely stored.Findings included . […]

• No harm, potential for more than minimal, patternF842Sep 15, 2025

  Based on interview, and record review, the facility failed to ensure a system was in place in which residents' records were complete, accurate, accessible, and systematically organized for 5 of 11 residents (Residents 5, 8, 74, 78, and 100) reviewed for accurate and complete medical records. The facility failed to ensure the medical records reflected the physician visit documentation for 3 of 6 residents (Residents 5, 78, and 100), failed to include dialysis provider notes for 1 of 3 residents (Resident 74), failed to ensure accurate documentation for advanced directives for one of one resident (Resident 8). This failure placed residents at risk for medical complications, unmet care needs, and diminished quality of life. […]

• No harm, potential for more than minimal, patternF812Jul 15, 2024

  Based on observation and interview, the facility failed to transport and serve food in a sanitary manner in 3 of 3 units (East, West, North) reviewed for food service. The failure to cover cold foods like fruit cups and desserts placed residents at risk for receiving contaminated foods and for diminished quality of life. Findings included . In an observation on 07/08/2024 at 12:05 PM, the East unit hall tray cart had trays with uncovered mandarin oranges that were served to residents. In an observation on 07/08/2024 at 12:08 PM, the North unit hall tray cart had trays with uncovered mandarin oranges that were served to residents. In an observation on 07/09/2024 at 12:00 PM, the East unit hall tray cart had trays with uncovered fruit that were served to residents. […]