St Joseph Villa

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 16, 2024

  Based on interview and record review, the facility did not ensure that 1 of 89 residents received adequate supervision and assistance devices to prevent accidents. Specifically, a resident was transferred with the help of one staff member using a sit to stand device. This was determined to have occurred at a harm level. However, based on the facility's investigation and corresponding correction, this was cited at past non-compliance. Resident identifier: 217. Findings include: 1. […]

• Actual harm, isolatedF686Sep 1, 2022

  Based on observation, interview and record review it was determined, for 1 of 42 sampled residents, that the facility did not ensure that a resident with pressure ulcers (PU) received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, the resident developed multiple areas of new pressure ulcers after admission to the facility. The deficient practice identified was found to have occurred at a harm level. […]

• Actual harm, isolatedF689Sep 1, 2022

  Based on observation, interview, and record review it was determined, for 1 of 42 sampled residents, that the facility did not provide adequate supervision and assistance devices to prevent accidents. Specifically, a dependent resident sustained a fall from a Hoyer lift after a one person physical assist which resulted in a head lacertion and a tibial fracture. Resident identifier: 44. Findings include: Resident 44 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included displaced bicondylar fracture of left tibia, subsequent encounter for closed fracture with routine healing, spastic quadriplegic cerebral palsy, severe protein-calorie malnutrition, profound intellectual disabilities, blindness, osteoarthritis and limited range of motion. […]

• No harm, potential for more than minimal, patternF801Jul 16, 2024

  Based on interview, the facility did to employ a clinically qualified full-time dietitian or another clinically qualified nutrition professional to serve as the director of nutrition services. Specifically, the facility did not employ a full time Registered Dietitian (RD) and the Dietary Manager (DM) did not meet the requirements to serve as the director of food and nutrition services. Findings include: On 7/8/24 at 8:48 AM, an interview was conducted with the DM. The DM stated she had not completed the required certification to work as the dietary manager. The DM stated the facility had a contracted RD that was at the facility on Mondays, Tuesdays, and Thursdays, and that she was always available by phone. On 7/16/24 at 4:02 PM, a second interview was conducted with the DM. […]

• No harm, potential for more than minimal, patternF842Jul 16, 2024

  Based on interview and record review it was determined, for 52 of 89 sampled residents, that the facility did not keep confidential all information contained in the resident's records, regardless of the form or storage method of the records. Additionally, the facility did not maintain the medical records on each resident that were complete, accurately documented, and readily accessible. Specifically, residents' names were included in a different residents medical records, and a resident's medical records from the hospital were not included in the residents electronic medical records at the facility. […]