Julia Temple Healthcare Center

In the surveyor’s words

From the most serious findings on record at Julia Temple Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689May 20, 2021

  Based on record review and interviews, the facility failed to ensure a safe environment and adequate supervision to prevent accidents for one (#4) of three residents reviewed of six sample residents. The facility identified a skin alteration (laceration) on the resident's face on 4/28/21 and initiated an investigation. Approximately fifteen minutes later, the resident started complaining of left hip pain. The facility did not investigate the cause of the resident's hip pain or identify the cause of the skin alteration to the resident's face. Due to the facility failures, the resident required hospitalization for a fracture of the left femoral neck (left hip) requiring surgical intervention and a one centimeter (cm) laceration to her left cheek (see hospital summarization, record review). […]

• No harm, potential for more than minimal, widespreadF881Dec 10, 2024

  Based on record review and interviews, the facility failed to establish an effective antibiotic stewardship program to monitor for antibiotic use for one (#40) of one resident reviewed for antibiotic use out of 51 sample residents. Specifically, the facility failed to: -Have an effective antibiotic stewardship program by mapping infections timely; and, -Have an effective antibiotic stewardship program to ensure Resident #40 was not given an antibiotic unnecessarily. Findings include: I. Failure to have an effective antibiotic stewardship program by mapping infections timely A. […]

• No harm, potential for more than minimal, patternF676Dec 10, 2024

  Based on observations, record review and interviews, the facility failed to ensure four (#366, #370, #27 and #43) of 12 residents out of 51 sample residents were provided the appropriate care and services of activities of daily living (ADL) to maintain or improve his or her abilities. Specifically, the facility failed to ensure Resident #366, Resident #370, Resident #27 and Resident #43 received cueing or assistance while eating. Findings include: I. Facility policy and procedure The Assisting Diners policy and procedure, revised May 2019, was provided by the nursing home administrator (NHA) on 12/11/24 at 9:26 a.m. […]

• No harm, potential for more than minimal, patternF679Dec 10, 2024

  Based on observations, record review and interviews, the facility failed to implement an activities program that met the interests of and supported the physical, mental, and psychosocial well-being of each resident for three residents (#79, #364 and #11) out of eight residents reviewed for activities of 51 sample residents. Specifically, the facility failed to: -Establish activity preferences and meet the socialization needs of Resident #79 and Resident #364; and, -Invite Resident #11 to group activities and ensure accurate activity documentation. Findings include: I. Facility policy and procedure The Activity Policy and Procedure Manual, revised November 2017, was received from the clinical resource nurse (CNR) on 12/10/24 at 9:00 p.m. […]

• No harm, potential for more than minimal, patternF880Dec 10, 2024

  Based on observation and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the possible development and transmission of infectious diseases. Specifically, the facility failed to: -Ensure staff followed appropriate hand hygiene during resident care; -Ensure shared vital signs equipment was sanitized between use; and, -Ensure appropriate infection control standards were followed during meals. Findings include: I. Ensure staff followed appropriate hand hygiene during resident care and ensure shared vital signs equipment was sanitized between use A. […]