St. Joseph's Hospital - Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at St. Joseph's Hospital - Skilled Nursing Facility, in the surveyor’s own words.

• Actual harm, isolatedF760Apr 1, 2022

  Based on observations, interviews, and record review conducted during a Recertification Survey and a complaint investigation (NY 223), from 3/39/22 to 4/1/22, the facility failed to ensure that one (Resident #7) of five residents reviewed was free of significant medication errors. Specifically, Resident #7 was not provided [MEDICATION(S)] (an anti-[CONDITION(S)] medication) as ordered and subsequently experienced [CONDITION(S)]-like activity requiring hospitalization . This resulted in actual harm to Resident #7 that was not immediate jeopardy. Findings include: Resident #7 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF584Feb 13, 2026

  Based on observations, interviews, and record review, the facility did not provide maintenance services necessary to maintain a safe and comfortable environment for one (1) of one (1) automatic door reviewed (Main Entrance). Specifically, the exterior and interior accessibility (handicap) automatic door opening pads at the main entrance were not functional, requiring residents who used wheelchairs to rely on others for entry and exit from the building.The findings include:The facility policy Maintenance and Service of Medical Equipment and Service Contract Agreements last reviewed March 2024 included completion of a work order in the event of malfunctioning equipment.Resident #9 had diagnoses including polyneuropathy (damage to peripheral nerves) and osteoarthritis (degenerative joint… […]

• No harm, potential for more than minimal, patternF610Feb 13, 2026

  Based on observations, interviews, and record review, the facility did not ensure allegations of neglect were thoroughly investigated and documented for one (1) of two (2) residents reviewed (Resident #9). Specifically, Resident #9 sustained an injury when [NAME] Elevator #5 closed on the resident's arm, and the facility did not complete an incident report, initiate an investigation, or conduct a root cause analysis following the incident.The findings include:The facility policy Accident Investigation and Analysis last reviewed December 2025 included all accidents and incidents would be investigated by the department director. […]

• No harm, potential for more than minimal, patternF689Feb 13, 2026

  Based on observations, interviews, and record review, the facility did not ensure the resident environment remained as free of accident hazards as possible for two (2) of five (5) residents reviewed (Resident #9 and Resident #12). Specifically, Resident #9's arm was caught in [NAME] Elevator #5 when attempting to stop the elevator door from closing, and Resident #12 was observed using their arm to prevent the elevator door from closing on their wheelchair. The elevator remained operational and accessible to residents, and the facility did not investigate, test, repair, or remove the elevator from service following the incident involving Resident #9.The findings include:The facility policy Accident Investigation and Analysis last reviewed December 2025 included all accidents and incidents… […]

• No harm, potential for more than minimal, patternF655Jul 26, 2024

  Based on interviews and record review conducted during the Recertification Survey from 7/22/24-7/26/24, for 7 (Residents #27, #35, #36, #38, #58, #66, #76) of 14 residents reviewed, the facility did not ensure the baseline care plan (developed within 48 hours of admission and included minimum healthcare information necessary to properly care for the immediate needs of the residents, that they were able to understand) was completed within 48 hours of a resident's admission and that a summary of the baseline care plan was provided to the resident and/or their representative. Specifically, for Resident #36, #38, #58, #76, the facility could not provide documented evidence that a baseline care plan was completed within 48 hours of the resident's admission. […]