St Joseph Manor Health Care Inc

In the surveyor’s words

From the most serious findings on record at St Joseph Manor Health Care Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 6, 2024

  Based on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to: 1. Ensure the main kitchen, main dining room steam table, and basement food storage area were clean and maintained in a sanitary manner to prevent potential food contamination; and 2. Maintain two of three kitchenettes in a clean and sanitary condition, and ensure food stored is not expired and stored at appropriate temperatures to prevent foodborne illness. […]

• No harm, potential for more than minimal, widespreadF880Nov 6, 2024

  Based on observation, interview, and document review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to: 1. Perform a COVID-19 related investigation and conduct contact tracing to prevent, to the extent possible, the onset and spread of infection; and 2. Maintain an infection prevention and control program which included a complete and accurate system of surveillance to identify any trends or potential infections. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF801Jun 29, 2021

  Based on staff interviews and documentation review, the facility failed to designate a person who met the minimum qualifications to serve as the Director of Food and Nutrition Services to ensure the functioning of the dietary department. Findings include: During an interview on 6/23/21 at 9:45 A.M., the Food Service Manager (FSM) said she was in charge of the facility's dietary department. The FSM said she had completed a dietary manager training program. The FSM said the Registered Dietitian worked at the facility part-time. If a facility does not employ a full-time Registered Dietitian, the Certified Dietary Director credential is a requirement for the employee who serves as the Director of Food and Nutrition Services. […]

• No harm, potential for more than minimal, widespreadF812Jun 29, 2021

  Based on observation and interview, the facility failed to ensure that food was stored, prepared, and served in accordance with professional standards of food service safety. Specifically, the facility failed to: 1) Store food properly and ensure the general sanitation of the kitchen; and 2) Monitor food temperatures to ensure proper cooking and holding temperatures. Findings include: 1. Review of the facility's policies titled Food Storage, dated 2013, and General Sanitation of Kitchen, dated 2013 indicated, but is not limited to: -Food is stored, prepared, and transported at appropriate temperatures and by methods designed to prevent contamination or cross contamination -All stock must be rotated with each new order received; food should be dated as it is placed on the shelves -All foods… […]

• No harm, potential for more than minimal, widespreadF838Jun 29, 2021

  Based on documentation review and staff interview, the facility failed to complete an accurate Facility-wide assessment to determine what resources are necessary to care for its residents and to plan for resources needed for both day-to-day operations and emergencies, including the public health emergency. Findings include: Review of the Facility Assessment tool, dated January 14, 2021, indicated the following inaccurate/missing information: a. The assessment failed to identify COVID-19 as an infection the facility was able to manage; failed to identify how the facility managed resident care and resources during the COVID-19 state of emergency, and failed to identify services that were not available to residents during the pandemic. […]