St. Joseph's Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Jan 28, 2026

  Based on observation and interviews with facility staff, it was determined that the facility failed to manage expired food items. This deficiency was observed in the facility's kitchen during the recertification survey.The findings include:On 1/21/26 at 7:45 AM, the surveyor conducted an initial tour of the kitchen with Staff #24 (Cook). The facility's refrigerator contained opened food items with marked expiration dates that had passed. The surveyor noted the following expired items:-One opened bag of bagels (5 remaining) with an expiration date of 9/13/25.-One bag of raisin cinnamon bread with an expiration date of 12/03/25.-One bag of pumpernickel bread (20% remaining) with an expiration date of 11/28/25.-One bag of white bread with an expiration date of 1/13/26.-One bag of Hawaiian… […]

• No harm, potential for more than minimal, isolatedF565Jan 28, 2026

  Based on review of pertinent documentation and interviews with facility staff, it was determined that the facility failed to have a system in place to ensure that the Resident Council was provided with responses, actions, and rationale taken regarding their concerns and to demonstrate the facility's response and rationale for such concerns. The Findings include: The Resident Council is a group of residents that meets regularly on the behalf of all residents in the facility to discuss concerns about facility policies and procedures affecting residents' care, treatment, and quality of life. Facility staff are required to consider resident and family group views and act upon grievances and recommendations. This may include developing or changing policies affecting resident care and life. […]

• No harm, potential for more than minimal, isolatedF580Jan 28, 2026

  Based on review of medical records and interview with facility staff, it was determined that the facility failed to notify the provider of blood in a resident's stool and urine and weakness leading to the resident needing to be fed their meals. This was evident for 1 (Resident #5) of 16 residents reviewed during the facility's recertification survey.The findings include:On 1/22/26 at 10:54 AM review of Resident #5's medical record revealed:-12/14/2025 6:43 AM Resident was assisted with toileting this morning. […]

• No harm, potential for more than minimal, isolatedF690Jan 28, 2026

  Based on a review of medical records and interviews with facility staff, it was determined that the facility failed to notify the physician regarding the status of a resident's indwelling Foley catheter. Specifically, staff failed to obtain physician orders for the replacement of dislodged catheters and failed to document these re-insertions in the medical record. This evident one resident (Resident #7) of one resident reviewed for urinary catheter care during this recertification survey.The findings include:A Foley catheter is an indwelling urinary catheter (IDC) that drains urine from the bladder into a collection bag.During a review of Resident #7's medical records from November 2025 to January 2026 on 1/22/26 at 1:08 PM, it revealed that progress notes indicated the catheter was found… […]

• No harm, potential for more than minimal, isolatedF756Jan 28, 2026

  Based on interviews with facility staff and review of medical records and facility policy, it was determined that the facility failed to address pharmacy recommendations in a timely manner. This was evident for 2 (Resident #2 and Resident #11) of 5 residents reviewed for unnecessary medications during the facility's recertification survey. The findings include: The Medication Regimen Review (MRR) is a review of the medication regimen (plan) of each resident with the goal of promoting positive outcomes and minimizing adverse (negative) consequences and potential risks associated with medications. […]