Saint Joseph Transitional Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Saint Joseph Transitional Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 12, 2022

  Based on observation, interview, record review and document review, the facility failed to ensure falls resulting in injury were prevented for 2 of 43 sampled residents (Residents #247 and #40) and Vehicle Safety Competency training was provided to 3 of 3 transportation drivers. Findings include: Resident #247 (R247) R247 was admitted on [DATE] and readmitted on [DATE], with diagnoses including [CONDITION(S)], dependence on ventilator and gastrostomy status. The Quarterly Minimum Data Set (MDS) dated [DATE], revealed the resident had functional impairment on bilateral upper and lower extremities, was totally dependent for care, and required two staff assistance for bed mobility and toileting. […]

• No harm, potential for more than minimal, widespreadF725Aug 12, 2022

  Based on observation, interview, and record review, the facility failed to ensure staffing was provided in accordance with the facility assessment and provided sufficient nursing staff to meet the safety and care needs of 6 of 43 sampled residents (Residents 72, 64, 75, 83, 94, and 247). The failure occurred on the 100, 200, and 300 Halls and. had the potential to affect all the residents in the facility. Findings include: The Facility assessment dated [DATE] indicated the facility had 100 licensed beds. The Facility Assessment indicated being completed by the Administrator, the Director of Nursing, the Assistant Director of Nursing, a Governing Body Representative, and the Medical Director. […]

• No harm, potential for more than minimal, patternF812Sep 22, 2023

  Based on observation, interview, and document review, the facility failed to ensure: 1) food items were labeled and not expired in 3 of 4 nourishment refrigerators, and 2) 1 of the 4 nourishment refrigerators was within the recommended temperature to keep cold foods cold. The deficient practice had the potential to impact the well-being of the residents through potential consumption of hazardous food items and breaches in infection control. 1) On [DATE] in the morning, three of the four nourishment refrigerators contained both unlabeled and/or expired food items. […]

• No harm, potential for more than minimal, patternF761Aug 12, 2022

  Based on observation, interview, record review, and document review, the facility failed to ensure 1) the desired refrigerator temperatures were maintained and monitored in 2 of 3 medication rooms and 2) the correct storage instructions for an intravenous (IV) antibiotic were followed. Findings include: A facility policy titled Medication Storage dated 07/05/2022, documented medications administered by staff should be kept in a locked storage. Medications administered by staff that require refrigeration should be kept safely stored. The temperature should not exceed 41 degrees Fahrenheit. 1) On 08/11/2022 at 9:20 AM, a medication refrigerator in 300-Hall was unlocked. […]

• No harm, potential for more than minimal, patternF880Jan 15, 2021

  Based on observation, interview, record review and document review, the facility failed to ensure appropriate infection control measures to prevent and/or contain the spread of COVID-19 were implemented as evidenced by: 1) Hand hygiene was performed per facility policy, and 2) A face mask was worn appropriately while providing care and during food preparation, and 3) A staff member was wearing an N95 mask that the employee had been fit tested for (Employee #17). Findings include: 1) Hand hygiene: On 01/15/2021 at 9:05 AM, a Certified Nursing Assistant (CNA) was observed collecting the used food trays from each room in the 200 Hall (Clean unit). […]