S.P.J.S.T. Rest Home 3

In the surveyor’s words

From the most serious findings on record at S.P.J.S.T. Rest Home 3, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Sep 18, 2025

  Based on observation, interview and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 3 of 4 medication cart (Medication Carts #1, #2 and #3) and 1 of 2 treatment carts (Treatment Cart #1) reviewed for medication storage. 1. The facility failed to ensure OTC medication stored in medication carts was labeled with the open date. 2. The facility failed to ensure wound care creams stored in the treatment cart were labeled with an open date. […]

• No harm, potential for more than minimal, patternF761Aug 8, 2024

  Based on observation, interview, and record review, the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys for two of four medication carts. -The keys to the [NAME] medication cart and the East medication carts were hanging on a hook inside of the [NAME] nurses' station, which was not locked, and the keys were within reach of persons outside the nurses' station. The failure placed the two medication carts at risk for drug diversion. Findings include: Observation on 08/07/24 at 1:30 p.m. of the [NAME] nurses' station revealed two sets of keys hanging on hooks on the inside of the counter. They were visible from the hallway. […]

• No harm, potential for more than minimal, patternF814Jun 22, 2023

  Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly for 2 of 2 waste receptacles reviewed for garbage disposal. -Both dumpster's contained waste; Dumpster #1 had its top front lids missing; and Dumpster #2 had one front top lid missing and the other front top lid was open. These failures could place residents at risk for exposure to germs and diseases carried by vermin and rodents. Findings Included: Observation on 06/20/2023 at 9 a.m. accompanied by the Dietary Manager revealed both dumpster's contained waste. Dumpster #1's front top lids were missing, and Dumpster #2's front top lid was open, and the front top right lid was missing. Observation on 06/22/2023 at 5:35 p.m. […]

• No harm, potential for more than minimal, patternF695Feb 2, 2023

  Based on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care, including tracheotomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for 2 of 4 residents (Resident #1 and Resident #3) reviewed for respiratory care. -The facility failed to obtain a physician's order for Resident #1's oxygen he received via nasal cannula. The O2 tubing was not changed in over 16 days. -Resident #3's nasal cannula tubing not changed in over 10 days. […]

• No harm, potential for more than minimal, patternF684Jul 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one of six residents (Resident #1) reviewed for quality of care. 1. The facility failed to ensure Resident #1 received his Aspercreme [MEDICATION(S)] cream (used for pain relief) or an alternative treatment in a timely manner and resulted in him missing seven doses. 2. The facility failed to ensure Resident #1's TED (thromboembolic deterrent) hose (used to prevent blood clots) were put on as ordered by his physician. […]