Memphis Jewish Home

In the surveyor’s words

From the most serious findings on record at Memphis Jewish Home, in the surveyor’s own words.

• Immediate jeopardy, patternF880Mar 25, 2022

  Based on policy review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when multi-use blood glucose meters were not cleaned and disinfected to prevent cross-contamination of bloodborne pathogens for 5 of 5 sampled residents (Resident #65, #74, #88, #277, and #376) reviewed for blood glucose monitoring, 6 of 9 nurses (Licensed Practical Nurse (LPN) #1, #2, #4, #5, #6 and Unit Manager #2) failed to perform hand hygiene, failed to place barriers when performing accucheck monitoring, failed to dispose of contaminated sharps and glucose strips in the sharp container, and administered contaminated pills to 8 of 11 sampled residents (Resident #65, #74, #82, #88, #226, #227, #232, and #376) observed during medication… […]

• No harm, potential for more than minimal, patternF550Mar 25, 2022

  Based on policy review, observation, and interview, the facility failed to promote care that maintained residents' dignity, respect, and quality of care when staff failed to provide and utilize indwelling urinary catheter privacy bags for 3 of 5 sampled residents (Resident # 66, #73, and #377) reviewed for indwelling urinary catheters. The findings include: Review of the facility's policy titled, Promoting/Maintaining Resident Dignity, revised 1/2022, revealed .It is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality .Maintain resident privacy .Random… […]

• No harm, potential for more than minimal, patternF761Mar 25, 2022

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 4 of 9 staff members (Licensed Practical Nurse (LPN) #2, #3, and #4, and Unit Manager #2) left medication carts unlocked, unattended, and out of sight and left medications out of sight and unattended, and when 2 of 16 medication storage areas (200 Hall Low Medication Cart and 400 Hall Low Medication Cart) had internal and external medications stored together. […]

• No harm, potential for more than minimal, patternF812Mar 25, 2022

  Based on policy review, observation, and interview the facility failed to ensure food was served under sanitary conditions when 3 of 17 staff members (Pantry Aide #1, Sous Chef (the second in command in a kitchen) #1 and Certified Nursing Assistant (CNA) #1) failed to sanitize a thermometer and failed to perform proper hand hygiene during meal service. This had the potential to affect 31 residents who received supper trays on the 100 Hall. The facility had a census of 131 with 126 residents receiving supper trays. […]

• No harm, potential for more than minimal, isolatedF695Feb 11, 2026

  Based on policy review, medical record review, observation, and interview, the facility failed to follow physician's orders for the use of oxygen for 1 of 2 (Resident #182) sampled residents reviewed for respiratory care. The findings include: Review of the facility policy titled, Administering Medications, dated 9/2025, revealed .Medications will be administered.as prescribed by the resident's attending physician or the facility's medical director. Review of the medical record revealed Resident #182 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including Chronic Obstructive Pulmonary Disease, Chronic Respiratory Failure, Dependence on Supplemental Oxygen, and Hypoxemia [low levels of oxygen in the blood]. […]