St. Joseph's Care Center

In the surveyor’s words

From the most serious findings on record at St. Joseph's Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 6, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure the resident environment remains as free of accident hazards as is possible for 1 of 1 resident (Resident #1) reviewed for safety.On 12/11/25 the facility failed to identify a hazard when Resident #1 was served her tea that was hot enough to create 1st and 2nd degree burns after it spilled on her.The facility failed to ensure staff knew the facility policy for Hot Beverage Preparation & Burn Safety and continued to serve hot liquids that were out of range from their policy limits.This failure could place cognitively impaired residents at risk for accidents, injuries, and a diminished quality of life. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen reviewed for dietary services. The facility failed to ensure food was safely stored, labeled, and dated in the upright refrigerator on 08/11/26.The facility failed to ensure food was safely stored, labeled, and dated in the upright freezer on 08/11/2026. These failures have the potential to affect the residents who ate food from the facility's kitchen, placing them at risk of foodborne illnesses.Findings include: Observation of the facility's kitchen on 08/11/26 at 9:22 AM revealed the following:There were 2 unopened cartons of sour cream in the refrigerator that did not have a received… […]

• No harm, potential for more than minimal, patternF583Aug 13, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the resident had a right to confidentiality of his or her personal and medical records for 11 of 20 residents (Residents #46, #16, #40, #35, #11, #42, #44, #29, #24, #57 and #45) reviewed for privacy and confidentiality. The facility failed to ensure Residents #46, #16, #40, #35, #11, #42, #44, #29, #24, #57 and #45vital sign information was not left exposed on top of MA A's medication cart unattended on 08/11/26. These failures could place the residents at risk of not having their personal privacy maintained during medication administration and their medical information exposed to unauthorized individuals. […]

• No harm, potential for more than minimal, patternF880Aug 13, 2026

  Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents reviewed for medication administration (Resident #45) and for 1 of 1 clean linen area of facility.MA A failed to sanitize the blood pressure cuff when going from one resident to another resident when obtaining blood pressure during medication administration for Resident #45 on 08/11/26.Facility failed to prevent clean linens from being exposed to contaminants when LA B left open food and a drink out in close proximity to clean linens on 08/12/26.This deficient practice placed… […]

• No harm, potential for more than minimal, isolatedF641Aug 13, 2026

  Based on observations, interviews, and record review the facility failed to ensure the resident assessment accurately reflected the resident's status for 1 of 4 residents (Resident #24) who were reviewed for accuracy of assessments.Resident #24's comprehensive MDS was not coded with the hospice benefit, when the resident was receiving hospice services.This failure placed residents at risk of a lack of coordination of care and services necessary for their physical, mental, and psychosocial well-being.Findings included:Review of Resident #24's comprehensive MDS assessment dated [DATE] reflected a [AGE] year-old female who admitted to the facility on [DATE] with the following diagnosis: high blood pressure, heart failure, high cholesterol, depression, drug induced subacute dyskinesia… […]