Saint Joseph of the Pines Health Center

In the surveyor’s words

From the most serious findings on record at Saint Joseph of the Pines Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF609Jul 11, 2024

  Based on record review and staff interviews, the facility failed to report allegations of abuse to Adult Protective Services (APS). This deficient practice was for 4 of 4 residents reviewed for abuse. (Resident # 41, Resident #324, Resident #72 and Resident #223). Finding included: 1. A review of the Initial Allegation Report for an allegation of misappropriation of property submitted on 6/18/24 at 3:47 PM indicated the facility became aware of the alleged incident on 6/18/24 at 1:00 PM for Resident #41. The allegation details revealed Resident #41 alleged that someone stole $100 from her pocketbook. The initial report indicated local law enforcement was notified on 6/18/24 at 2:30 PM. The initial report did not indicate APS was notified. […]

• No harm, potential for more than minimal, patternF688Jul 14, 2021

  Based on observation, record review, and staff interview, the facility failed to apply a splint as ordered to a resident with a contracture for 1 of 2 residents (Resident #8) reviewed for range of motion. The findings included: Resident #8 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An Occupational Therapy (OT) progress and discharge summary for Resident #8 dated 7/24/20 indicated she received OT from 5/25/20 through 7/24/20 for a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The form indicated that Resident #8 was tolerating her splint well, but she had not met her long term goal of wearing the soft splint for 8 hours per day due to an early discharge from therapy related to a hospice referral. […]

• No harm, potential for more than minimal, patternF689Jul 14, 2021

  Based on observations, staff interviews and record review, the facility failed to complete a thorough fall investigation to determine the root cause, failed to timely address falls with effective interventions. The facility also failed to implement interventions as care planned to prevent further falls. This was for 2 (Resident #25 and Resident #18) of 5 sampled residents reviewed for accidents. The findings included: 1. Resident #25 was admitted on [DATE] with cumulative diagnoses of dementia, [CONDITION(S)] and [CONDITION(S)] (CVA) with left side [CONDITION(S)]. Resident #25's quarterly Minimum Data Set (MDS) dated [DATE] indicated severe cognitive impairment and he exhibited no behaviors. He was coded for total assistance with transfers, extensive assistance with bed mobility. […]

• No harm, potential for more than minimal, isolatedF694Jul 31, 2025

  Based on observation, record review, Nurse Practitioners and staff interviews, the facility failed to change the dressing to Resident #76's Peripherally Inserted Central Catheter (PICC) line. This occurred for 1 of 1 resident (Resident #76) reviewed for intravenous (IV) antibiotic therapy. The findings included: Resident #76 was admitted to the facility on [DATE] with diagnoses that included osteomyelitis (infection of the bone) and methicillin-resistant Staphylococcus aureus (MRSA). The 5-day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #76 was cognitively intact and was coded with IV access and antibiotics. Review of the active nurse practitioner orders dated 7/8/25 revealed orders to change the PICC dressing every seven days and as needed using sterile technique. […]

• No harm, potential for more than minimal, isolatedF582Jul 11, 2024

  Based on staff interviews and record review, the facility failed to issue a Centers for Medicare and Medicaid Services (CMS), CMS-10055 Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to 1 of 3 residents reviewed for SNF Beneficiary Protection Notification Review (Resident # 50). Findings included: Resident #50 was admitted to the facility under part A Medicare services on 5/22/24. A review of the medical record revealed a CMS-10123 Notice of Medicare Non-Coverage letter (NOMNC) was discussed by telephone with Resident #50's responsible party on 6/17/24. […]