Jnh-Jefferson Inn

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents received meals at regular intervals not exceeding 14 hours between the evening and morning meal, or 16 hours when a bedtime snack is provided, for residents residing in the facility for one (1) of three (3) days of survey.

Inspectors wroteBased on observation, interview, and facility policy review the facility failed to ensure that food was prepared and served in a sanitary manner to prevent foodborne illness. Specifically, a food-service worker was observed failing to change gloves after touching a door handle while taking food temperatures. This failure demonstrated a breach of proper hand-hygiene and glove-use procedures and created a risk of cross-contamination for one (1) of four (4) dietary observations.

Inspectors wroteBased on record review, staff interview, and facility policy review the facility failed to implement the resident's care plan for monitoring dialysis weights and identify changes in condition for one (1) of (32) sampled residents (Resident #9).

Inspectors wroteBased on record review, interview, and facility policy review the facility failed to ensure completion and follow-up of resident communication forms used to coordinate care services, resulting in potential unmet resident needs in one (1) of (1) sampled resident receiving dialysis. Resident #9.

Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the provision of physician-ordered care and services for a resident receiving dialysis treatment. Specifically, the facility failed to accurately correspond, obtain, and document dialysis weights for one (1) of 32 sampled residents. (Resident #9).

Inspectors wroteBased on record review, staff interview, and facility policy review the facility failed to ensure accurate and complete documentation of dialysis weights for a resident receiving hemodialysis. Specifically, dialysis weights were not recorded on the dialysis communication form for four (4) of 30 dialysis treatment days during August 2025. Resident #9.

Inspectors wroteBased on observations, interviews, record reviews and facility policy review, the facility failed to prevent the possible spread of infection during wound care as evidenced by failure to implement proper use of Enhanced Barrier Precautions (EBP) during wound care for one (1) of three (3) care observations. Resident #11Findings include:A record review of the facility's Standard Precautions & Enhanced Barrier Precautions dated 6/2024 revealed 2. POLICY: All employees will utilize Standard Precautions or Enhanced Barrier Precautions when indicated, on all patients/residents at all times .3. Enhanced Barrier Precautions expands the use of Personal Protective Equipment (PPE) beyond situations in which exposure to blood and body fluids is anticipated. High contact resident care includes Wound care (any skin opening requiring a dressing. [...]

Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure the residents' right to be treated with dignity and respect, as evidenced by staff provided incontinent care without providing privacy for two (2) of four (4) sampled residents. Resident #1 and Resident #2.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to follow physician orders for dietary supplements for one (1) of two (2) residents reviewed for nutrition. Resident #68 Findings Include: On 08/05/24 at 1:25 PM, an observation of Resident #68 eating lunch in the dining room revealed the resident could feed himself, using his left hand, after staff set up his tray. The resident consumed 100% of his meal, but there was no dietary supplement on his lunch tray. On 08/06/24 at 1:20 PM, an observation of Resident #68 eating lunch in the dining room revealed that Certified Nursing Assistant (CNA) #1 noted that there was no Boost on his tray, so she left the dining area and returned with the Boost in hand. The resident immediately picked it up and began to consume it. [...]

Inspectors wroteBased on observations, staff interviews record review and facility policy review, the facility failed to date medications that were opened and stored in two (2) of four (4) medication refrigerators in medication storage rooms. Findings Include: A record review of the facility policy titled MultiDose Vials, dated 11/21, revealed 1. This policy establishes the requirements to regulate the use of multidose vials to ensure stability and prevent contamination . 2. POLICY: The pharmacy attempts to supply injectable drugs in unit of use vials when practical, but many items are only available in multidose vials. 3. PROCEDURE: A. All multi-dose vials must be dated with a 28-day expiration date from the time of initial puncture . [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure a Certified Nurse Aide (CNA) followed the resident's care plan, which resulted in an unwitnessed fall from the bed for one (1) of three (3) the residents reviewed for accidents.

Inspectors wroteBased on interviews, record review, facility investigation, and facility policy review, the facility failed to ensure a dependent resident was supervised and physician ordered assistive devices were implemented to prevent an unwitnessed fall from bed for one (1) of three (3) the residents reviewed for accidents.

Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure the resident's meals maintained a palatable temperature. This had the potential to affect 34 of the 34 residents receiving meals in building 31.

Inspectors wroteBased observations, interviews, record review, and facility policy review, the facility failed to implement an ongoing resident-centered activities program that incorporates the resident's interests for two (2) of 35 residents in building #31. Resident # 51, Resident # 64 Findings Include: Review of the facility's policy, Residents Rights, dated May 2021, revealed, The resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility . The resident has the right to choose activities, schedules (including sleeping and waking times), health care and providers of health care services consistent with his or her interest, assessment, and plan of care. The resident has the right to interact with members of the community and participate in community activities both inside and outside the facility . [...]

Inspectors wroteBased on interviews, record review, and facility's policy review, the facility failed to designate a staff member of the interdisciplinary team responsible for working with the hospice representative to coordinate care provided by the hospice service and the facility for one (1) of one (1) sampled residents receiving hospice care.