St. Joseph Villa Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jul 21, 2023

  LICENSURE REFERENCE NUMBER 175 NAC ,d+[DATE].02(8) Based on interviews, record review, and facility document and policy review, the facility failed to protect the residents' right to be free from sexual abuse by a resident. Specifically, the facility failed to ensure 2 (Resident #141 and Resident #142) of 4 residents reviewed for abuse who resided on the memory care unit (MCU) and were cognitively impaired were free from sexual abuse. The facility census was 147. Findings are: Review of a facility policy titled, Abuse, Neglect and Exploitation, Freedom From, last revised in ,d+[DATE], indicated, It is the policy of [the facility] to maintain a work and living environment that is professional and residents are free from threat or occurrence of harassment, abuse (verbal, physical, mental or… […]

• Actual harm, isolatedF689Jun 10, 2026

  Licensure Reference Number 175 NAC 12-006.09(I) Based on observation, interview, and record review, the facility failed to implement intervention to prevent the potential for hot liquid burns on 2 (Residents 1 and 2) of 3 sampled residents. The facility census was 156. Findings are:A record review of the facility's undated Precautions for Handling Hot Beverages education prior to this incident revealed staff shall monitor, serve, and hold hot beverages in a safe manner to prevent burns. The temperature (temp) of any hot beverage would be allowed to cool to 130 degrees Fahrenheit (F). Additional precautions may be implemented based on the needs and make-up of the residents served. […]

• Actual harm, isolatedF689Aug 22, 2024

  LICENSE REFERENCE NUMBER NAC 12.006.09(I) Based on record review and interview; the facility staff failed to transfer 1 (Resident 9) of 1 residents in a manner to prevent injury. The facility staff identified a census 159. Findings are: Record review of Resident 9's Electronic Health Record (EHR) titled Census Sheet revealed Resident 9 was admitted to the facility on [DATE]. Record review of Resident 9's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 6-06-2024 revealed the following: -Resident 9 had short term and long-term memory problem. -Dependent for eating, bed mobility, transfers, and toileting. -Has a diagnosis of Alzheimer's and dementia with behavioral disturbance. […]

• Actual harm, isolatedF688Jun 14, 2022

  Licensure Reference Number 175 NAC 12-006.09D4 Based on observation, record review and interview; the facility failed to ensure devices were utilized to prevent contractures [a permanent tightening of muscles, tendons, skin and nearby tissues that causes the joints to shorten and become very stiff. This prevents movement of the joints or body part] and to decrease risk of skin breakdown secondary to contractures for 1 (Resident 37) of 1 resident reviewed for Range of Motion. The facility census was 154. […]

• Actual harm, isolatedF692Jun 14, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D8b Based on observation, record review and interview; the facility staff failed to provide assistance with eating for 1 (Resident 50) of 5 sampled residents who then experienced weight loss. The facility identified a census of 154. The findings are: Review of the Minimum Data Set (MDS a federally mandated comprehensive assessment tool used for care planning) dated 3/24/22 revealed Resident 50 required supervision and 1 person assist for eating. Record review of Point of Care History for Resident 50 with dates of 6/8/2022-6/11/2022 revealed documentation for staff support provided for eating was 1 person physical assist. Record review of Resident 50's weight revealed a documented weight of 132 pounds on 5/7/2022. […]