Maria Joseph Living Care Center

In the surveyor’s words

From the most serious findings on record at Maria Joseph Living Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 16, 2026

  Based on record review, observation, staff interviews, policy review and review of the guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to thoroughly assess a resident's skin and failed to timely identify the resident's pressure ulcers (injuries to skin and underlying tissue caused by prolonged pressure, friction, or shear, usually over bony areas like the hips, heels, or tailbone) until they had reached an advanced stage. Actual Harm occurred on 01/09/26 when Resident #209, who was risk for developing pressure ulcers, developed a facility acquired stage III pressure ulcer (full-thickness skin loss in which adipose [fat] is visible and granulation tissue [new tissue] and epibole [rolled wound edges] are often present. […]

• No harm, potential for more than minimal, widespreadF725Feb 16, 2023

  Based on resident and staff interview, review of a the State Health Department memorandum, review of the employee files, review of the staffing schedules, and review of the time punches, the facility failed to ensure there were sufficient aides who were qualified to provide resident care. This had the potential to affect all residents who reside at the facility. The facility census was 244. Findings include: Review of a State Department of Health memorandum titled Temporary Nurse Aide Testing Waiver Ending dated 06/07/22 revealed beginning 06/07/22 any temporary nurse aide who was hired prior to June 7, 2022, and has not completed the 75 hours required by 42 CFR S483.152 (a) and (b) will be required to complete nurse aide training either through training in the Long Term Care facility or… […]

• No harm, potential for more than minimal, widespreadF728Feb 16, 2023

  Based on staff interview, review of a state memorandum, review of the State Nurse Aide Registry, and review of employee files and time cards, the facility failed to ensure aides were qualified to provide resident care. This had the potential to affect all residents at the facility. The facility census was 244. Findings include: Review of a State Department of Health memorandum titled Temporary Nurse Aide Testing Waiver Ending, dated 06/07/22 revealed beginning 06/07/22 any temporary nurse aide who was hired prior to 06/07/22 June 7, 2022, and has not completed the 75 hours required by 42 CFR S483.152 (a) and (b) will be required to complete nurse aide training either through training in the LTC facility or via a State Approved Nurse Aide Training Competency Evaluation Program (NATCEP) and… […]

• No harm, potential for more than minimal, widespreadF880Sep 22, 2021

  Based on observation, staff interviews, policy review, and review of the Centers for Disease Control (CDC) recommendations, the facility failed to ensure staff members donned appropriate Personal Protective Equipment (PPE) while in resident care areas to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This had the potential to affect all 246 residents residing in the facility. Facility census was 246. Findings include: 1. Observation on 09/16/2021 at 10:44 A.M. revealed Housekeeper #61 was not wearing a face shield as she entered resident rooms on the COVID-19 unit. Licensed Practical Nurse (LPN) #275 picked up a face shield off of the housekeeper's cart and handed it to Housekeeper #61 as she exited a resident's room. Interview on 09/16/2021 at 10:45. A.M. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2021

  Based on observation, interview and record review, the facility failed to ensure food was not expired and food temperatures were consistently taken. This had the potential to affect all 233 residents. The census was 233. Findings include: 1. Observation of the walk in cooler on [DATE] at 2:30 P.M. revealed a tray of chocolate milk cartons with best by dates of [DATE]. Interview with Dietary Supervisor #972 at the time of the observation verified the tray of chocolate milk cartons had a best by date of [DATE]. Observation of the dry storage area on [DATE] at 4:40 P.M. revealed a loaf of bread with a best by date of [DATE]. Interview with Registered Dietitian #966 at the time of the observation verified the loaf of bread had a best by date of [DATE]. 2. […]