Saint Josephs Living Center Inc

In the surveyor’s words

From the most serious findings on record at Saint Josephs Living Center Inc, in the surveyor’s own words.

• Actual harm, isolatedF697Apr 1, 2026

  Based on record review, interviews, and facility policy review, the facility failed to recognize, assess, and manage acute pain for two of three sampled residents reviewed for accidents (Residents #1 and #5), resulting in actual harm when both residents experienced prolonged unrelieved pain after emergent injuries. Resident #1 sustained a second degree burn on 3/4/26 with documented discomfort. Yet, staff did not complete a comprehensive pain assessment or administer available PRN analgesia. The ordered burn dressing was no applied until the next shift, leaving the resident to report throbbing pain for many hours without follow up from nursing. […]

• No harm, potential for more than minimal, patternF880Dec 10, 2024

  Based on observations, review of the clinical record, facility documentation, facility policy and interviews for 6 of 13 residents (Resident #22, Resident #36, Resident #44, Resident #64, Resident #71 and Resident #89) reviewed for Enhanced Barrier Precautions (EBP) and 1 of 2 residents (Resident #211) reviewed for Transmission Based Precautions (TBP), the facility failed to initiate Enhanced Barrier Precautions (EBP) per Center of Disease Control (CDC) guidelines for residents with a history of Multiple Drug Resistant Organisms (MDROs) and failed to perform hand hygiene after exiting a resident room and before entering another resident room and failed to maintain Transmission Based Precautions (TBP) while assisting a resident with a positive COVID-19 diagnosis. The findings include: 1. […]

• No harm, potential for more than minimal, patternF800Aug 31, 2022

  Based on observation, interviews, and review of facility policy during the initial tour of the kitchen, the facility failed to ensure the proper concentration of sanitizing solution for one of three sanitization buckets reviewed. The findings include: Interview and observation with the Food Service Supervisor on 8/24/22 at 10:15 AM identified three buckets of sanitizing solution for cleansing kitchen surfaces, one in a sink, one on a mobile cart, and one on a shelf below a food preparation surface. The Food Service Supervisor indicated that the sanitizing solutions had been mixed on 8/24/22 between 9:30 and 10:00 AM and that the proper level of sanitization for food contact surfaces is 150-200 parts per million (PPM) for quaternary ammonia compound (QAC). […]

• No harm, potential for more than minimal, patternF812Aug 31, 2022

  FACILITY Kitchen Based on observations, interviews, and review of facility policy during the initial tour of the kitchen, the facility failed to ensure essential kitchen equipment was free of debris and maintained in a clean and sanitary manner, that food items were appropriately labeled, that expired food was discarded prior to the expiration date and that during meal distribution food items were appropriately covered. The findings include: 1. Observations during the initial kitchen tour on [DATE] at 10:00 AM identified the following: A. […]

• No harm, potential for more than minimal, isolatedF842Apr 1, 2026

  Based on review of the clinical record, facility documentation, facility policy and interviews for two (2) of three (3) sampled residents (Residents #1 and #5) reviewed for accidents, the facility failed to maintain complete and accurate clinical records by failing to ensure physician orders obtained following an incident were transcribed into the medical record and failing to ensure all licensed nurses involved in the incidents documented the care and services provided. The findings include:1. […]