St Josephs Place

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Mar 30, 2026

  Based on observation and interview the facility failed to ensure a safe clean, comfortable, environment for three (3) of six (6) residents (Resident #20, Resident #25, Resident #33,) reviewed for Environment. Specifically, 1) wheelchairs for Resident #20 and Resident #25 were soiled, the walls in Resident #25's room had holes/dents/ unfinished paint and exposed caulk and Resident #33's wheelchair had torn fabric edges, soiled/worn padding on the armrests, and 2) the end cap on the radiator in the bathroom in room [ROOM NUMBER] was not affixed leaving an exposed sharp edge.The findings included:The policy for Wheelchair Cleaning and Disinfection last reviewed 11/03/2025, documented the facility committed to maintaining a clean and sanitary environment to reduce the risk of infection… […]

• No harm, potential for more than minimal, patternF585Mar 30, 2026

  Based on observations, interviews, and record reviews during the recertification and abbreviated surveys (2796313), the facility did not ensure that residents knew how to file a grievance or were informed of the response to the grievance for 12 of 12 residents (Resident #11, Resident #29, Resident #34, Resident #13, Resident #20, Resident #24, Resident #25, Resident #8, Resident #35, Resident #41, Resident #14, Resident #26) interviewed during resident council and one (1) of three (3) residents reviewed for care planning (Resident #17). […]

• No harm, potential for more than minimal, patternF677Mar 30, 2026

  Based on observations, interviews, and record reviews during the recertification and abbreviated surveys (#2796313 and 2725477) the facility did not ensure that residents unable to carry out activities of daily living received the necessary assistance with toileting for one (2) of four (4) residents (Resident #27 and #17) reviewed for activities of daily living and other residents that expressed a delay in call bell times during the Resident Council meeting. Specifically, Resident #27 was not provided toileting assistance as needed to maintain or improve their ability to carry out activities of daily living. 2) Resident #17 was observed with their call bell on and not receiving care timely. […]

• No harm, potential for more than minimal, isolatedF684Mar 30, 2026

  Based on observation, interview, and record review during the recertification and abbreviated surveys (2796313), the facility failed to ensure that residents received treatment and/or care in accordance with professional standards of practice for one (1) of four (4) residents (Resident #17) reviewed for Activities of Daily Living. Specifically, Resident #17 was not scheduled to have a follow up appointment with the cardiologist within the time frame indicated on the patient hospital discharge instructions. […]

• No harm, potential for more than minimal, isolatedF695Mar 30, 2026

  Based on observation, record review, and interview, the facility failed to ensure each resident received necessary respiratory care, including oxygen therapy, in accordance with professional standards of practice and physician orders for one (1)) of three (3) residents (Resident #9) reviewed for Respiratory Care. Specifically, oxygen was not administered at the correct flow rate per physician order for Resident #9. Findings include:The policy and procedure titled Oxygen Administration, last revised 06/26/2025, documented the purpose was to ensure safe oxygen administration according to the physician's order.Resident #9 had diagnoses of chronic atrial fibrillation (long-term irregular heartbeat), congestive heart failure (fluid buildup in the lungs), and heart failure (the heart not pumping… […]