St Barnabas Nursing Home

In the surveyor’s words

From the most serious findings on record at St Barnabas Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF623Jan 30, 2025

  Based on clinical record review and staff interviews, it was determined that the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for four of four residents (Residents R1, R18, R27, and R32). Findings include: Review of the clinical record revealed Resident R1 was admitted to the facility on [DATE]. Review of Resident R1's Minimum Data Set (MDS - a periodic assessment of care needs) dated 11/24/24, indicated diagnoses of hemiplegia, affecting right side (medical condition that causes paralysis or weakness on one side of the body), diabetes mellitus, and hypertension. Review of Resident R1's clinical record revealed that the resident was transferred to the hospital on 8/27/24. […]

• No harm, potential for more than minimal, patternF692Jan 30, 2025

  Based on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to make certain that weight loss was identified and addressed in a timely manner for one of three residents (Resident R36) and the facility failed to complete initial nutrition assessments for two to seven residents (Resident R29, R49). Findings include: Review of facility policy Weight Loss Prevention dated 5/23/24, indicated Dietitian or Dietitian Tech to evaluate and make recommendations as indicated. […]

• No harm, potential for more than minimal, patternF944Jan 30, 2025

  Based on review of facility documents, employee education records, and staff interview, it was determined that the facility failed to provide training on QAPI (Quality Assurance and Performance Improvement) for five of seven staff members (Employee E7, E8, E9, E11, and E12) Findings include: Review of the facility policy Facility Assessment: Staff Training and Competencies dated 5/23/24, indicated that all new staff are trained during the orientation process on designated facility topics. A checklist is completed both on theory and skills material. A checklist is completed again annually on both theory and skills material. […]

• No harm, potential for more than minimal, patternF700Feb 24, 2023

  Based on review of clinical records, observations, and staff interview it was determined that the facility failed to assess three of 21 residents for the use of bed rails (Residents R17, R18, and R30). Findings Include: Review of the facility policy Restraints dated 2/1/23, indicated once the need for a safety or positioning device has been recognized, the nurse shall consult the restraint team and the restraint team will complete a restraint assessment form. Review of Admission record indicated Resident R17 was admitted to the facility on [DATE]. Review Resident R17's Minimum Data Set (MDS - a periodic assessment of care needs) dated 2/19/23, indicated the diagnoses of high blood pressure, chronic kidney disease (inability to filter waste), and osteoporosis (brittle bones). […]

• No harm, potential for more than minimal, patternF610Mar 4, 2022

  Based on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to investigate incidents of possible abuse and neglect for six of eight residents (Residents R6, R7, R31, R33, R43 and R46). Findings include: Review of the facility policy Prohibition and Prevention of Abuse, Neglect and Mistreatment, last reviewed on 1/31/22, with previous review date of 12/10/21, indicated that all potential employees are screened by Human Resources for a history of abuse, neglect or mistreatment by a court of law. All employees receive abuse training which include identification, intervention and prevention of abuse. It is the responsibility of all St. […]