St Joseph Skilled Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at St Joseph Skilled Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Dec 11, 2025

  Based on interviews and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment, and to help prevent the development and transmission of communicable diseases and infections as evidenced by: 1) failure to effectively decontaminate the environment of residents on contact isolation with confirmed or suspected C. Difficile infection and 2) failure to properly identify possible communicable diseases or infections before they spread. This deficient practice had the potential to affect 85 residents in the facility. Findings:1. On 12/09/2025 at 9:24 a.m., S9Housekeeper reported one product was used in contact isolation rooms with confirmed or suspected C. […]

• No harm, potential for more than minimal, widespreadF887Dec 11, 2025

  Based on interview and record review, the facility failed to implement policies and procedures for COVID-19 immunizations for 5 (#8, #20, #32, #92, & #106) of 5 residents reviewed for immunizations. The facility failed to ensure the residents' medical records included documentation that indicated the residents or resident representatives received education regarding the benefits and potential side effects of COVID-19 immunization. This deficient practice had the potential to affect 85 residents residing in facility. […]

• No harm, potential for more than minimal, patternF585Jul 30, 2025

  Based on record review and interview the facility failed to ensure grievances were investigated for 1 (#1) of 3 (#1, #2, #3) sampled residents. The facility failed to investigate a grievance by Resident #1's RP (responsible party) promptly.Findings:Review of the facility's grievance policy dated November 2017 revealed in part:The patient or patient representative has a right to voice grievances to the facility or other entity that hears grievances without fear of discrimination or reprisal. Grievances include those with respect to care and treatment, the behavior of staff and other concerns.Guidelines:3. […]

• No harm, potential for more than minimal, patternF690Jul 30, 2025

  Based on observations, interview and record review the facility failed to use infection control standards of practice for 1(#2) of 3 (#1, #2 and #3) sampled residents by not properly storing a resident's Foley catheter bag preventing an increased risk of contamination and infection. Resident #2's Foley catheter bag was improperly stored on the floor. Findings:Review of the facility's Catheter Care, Urinary policy (revised September 2014) presented by S1 DON (Director of Nursing) revealed in part:Purpose: The purpose of this procedure is to prevent catheter-associated UTI (urinary tract infections).Infection Control: Be sure the catheter tubing and drainage bag is kept off the floorObservation on 7/29/2025 at 11:25 a.m. […]

• No harm, potential for more than minimal, patternF726Jul 30, 2025

  Based on record reviews and interview the facility failed to ensure nurses started a medication that had been ordered by the physician for 1(#2) of 3 (#1, #2 and #3) sampled residents. The facility failed to start the medication Naltrexone for resident #2. Findings: Review of resident #2's record revealed in part, a Psych Evaluation, date of service July 3, 2025. Chief complaint and history of present illness, history of dementia and insomnia.Case Conceptualization: Speech unintelligible. Information obtained from staff. They describe resident #2 as being 'hypersexual' and gave examples on behavior. Resident #2 is not aggressive. Resident #2 has a PEG (percutaneous endoscopic gastrostomy) tube for nutrition. Resident #2 does sleep well. […]