St Joseph's Home AL & NC, Inc

In the surveyor’s words

From the most serious findings on record at St Joseph's Home AL & NC, Inc, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jan 21, 2022

  Based on observation, interview, medical record review, and review of other facility documentation, the survey team determined that the facility failed to implement mitigation strategies to prevent the transmission of COVID-19 (an acute disease in humans caused by a coronavirus, which is characterized mainly by fever and cough and is capable of progressing to severe symptoms and in some cases death, especially in older people and those with underlying health conditions) by not having placed a resident (Resident #2), who was exposed to another resident that tested positive for COVID-19, on Transmission Based Precautions (TBP) and by not having implemented source control measures (use of respirators or well-fitting facemasks or cloth masks to cover a person's mouth and nose to prevent spread… […]

• No harm, potential for more than minimal, patternF812Feb 10, 2023

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe, consistent manner designed to prevent foodborne illness. This deficient practice was evidenced by the following: On 02/03/23 10:57 AM, the surveyor, in the presence of the Food Service Director (FSD), observed the following during the kitchen tour: 1. In the spice cabinet, an opened and undated package of gluten free pasta was stored on a shelf. The surveyor observed a second opened and undated package of gluten free pasta wrapped in plastic stored on a shelf. When interviewed, the FSD stated the packages of gluten free pasta should have been dated when opened. […]

• No harm, potential for minimal, patternF640Apr 8, 2025

  Based on interview and record review, it was determined that the facility failed to complete a death Minimum Data Set (MDS), an assessment tool, as required for 1 of 1 system selected for residents with MDS record over 120 days reviewed (Resident #22), and was evidenced by the following: On 4/2/25 at 9:45 AM, the surveyor reviewed the system selected MDS record over 120 days which revealed Resident #22 was overdue for a MDS assessment. A review of Resident #22's medical record (MR) revealed that the resident had a death in the facility on 1/17/25. A review of the resident's MDS assessments revealed the last MDS completed was a quarterly assessment dated [DATE]. The was no assessment for the resident's death. […]

• No harm, potential for minimal, patternF623Feb 10, 2023

  Based on interview, record review and review of other pertinent facility documentation it was determined that the facility failed to notify the resident and/or the resident's representative in writing of the reason for transfer or discharge to the hospital and also send a copy to a representative of the Office of the State Long-Term Care Ombudsman for 2 of 2 residents reviewed for hospitalization , Residents #17 and Resident #24. This deficient practice was evidenced by the following: According to the Admission Record (AR) Resident #17 was admitted to the facility with the diagnoses which included but was not limited to hypertension, depression, and age-related physical disability. […]

• No harm, potential for minimal, patternF625Feb 10, 2023

  Based on interview and review of the medical record and other facility documentation, it was determined that the facility failed to provide a bed-hold and return policy to a resident representative. This deficient practice was identified for Resident #17 and #24, 2 of 2 residents reviewed for transfer and was evidenced by the following: 1.) According to the Admission Record (AR) Resident #17 was admitted to the facility with diagnoses which included but were not limited to hypertension, depression, and age-related physical disability. […]