St. Josephs Home

Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure residents were treated with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of quality of life, recognizing each resident's individuality during meal service in two (2) of two (2) dining rooms (First and Second floor dining rooms). Specifically, residents stated they were not allowed to visit residents at other tables and/or visitors were not allowed to visit in the dining rooms during and after mealtimes.

Inspectors wroteBased on record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choice for one (1) of three (3) residents (Resident #3) reviewed. Specifically, Resident #3 had diabetes and was responsible for reading their own blood sugar results with a blood glucose sensor device (a small sensor-based system applied to the back of the arm that provides continuous glucose readings without finger sticks). The resident's twice a day weekly blood glucose finger sticks was discontinued without a medical order and their blood glucose levels and sliding scale insulin were not documented as completed two (2) times in March 2026.

Inspectors wroteBased on observation, record review, and interviews the facility failed to ensure that residents who required dialysis services (filtration of blood when the kidneys do not work) received such services consistent with professional standards of practice for one (1) of one (1) resident (Resident #12) reviewed. Specifically, Resident #12 received hemodialysis treatments at a community-based dialysis center, and the facility did not have a plan to adequately monitor and care for the resident pre and post dialysis.

Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure a resident was provided medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident for one (1) of one (1) resident (Resident #6) reviewed. Specifically, Resident #6 had a history of depression with episodes of night terrors and did not have a person-centered care plan to address the resident's depression and did not have social work follow up to address the resident's history of post-traumatic stress disorder or psychosocial concerns.

Inspectors wroteBased on observations and interview the facility failed to post on a daily basis at the beginning of each shift, the current resident census and the total number and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift, in a prominent location readily accessible to residents and visitors for five (5) of five (5) days (03/16/2026-03/20/2026) reviewed. Specifically, the facility did not post staffing information at the beginning of the shift on 03/16/2026 and was posted in the afternoon. The posting included the number of staff only and on subsequent days of survey the posting did not include the current resident census, and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 3/25/2024-3/29/2024, the facility did not review the risks and benefits of enabler rails or obtain informed consent prior to the installation of enabler rails with the resident or resident representative for 10 of 10 residents (Residents #2, #4, #81, #41, #60, #71, #59, #23, #80, and #62) reviewed. Specifically, there was no documented evidence the risks and benefits of enabler rails were explained to the residents, or their representatives or consents were obtained prior to bed rail use for Residents #2, #4, #81, #41, #60, #71, #59, #23, #80, and #62

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 3/25/2024-3/29/2024, the facility did not ensure storage, preparation, distribution, and service of food in accordance with professional standards for food service safety in 1 of 1 main kitchen. Specifically, the main kitchen had undated and uncovered food, the food slicer and can opener had food debris on them, and ceiling tiles and walls were not clean.

Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (NY00297353) surveys conducted 3/25/2024-3/29/2024, the facility did not implement policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents for 1 of 3 residents (Resident #23) reviewed. Specifically, recreation aide #8 witnessed an alleged abuse incident by certified nurse aide #7 towards Resident #23 and did not intervene to stop the interaction and did not immediately report the alleged abuse to Administration per the facility policy. Additionally, certified nurse aide #7 completed their shift after the alleged abuse incident occurred.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 3/25/2024-3/29/2024, the facility did not ensure residents were free of any significant medication errors for 1 of 9 residents (Resident #14) reviewed. Specifically, Resident #14's prepared medications were left in a cup unattended on their bedside table for over 5 hours and licensed practical nurse #3 documented the medications were administered at 6:00 AM when they were not.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 12/7/21-12/10/21, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one isolated area (kitchen exhaust hood area) in the main kitchen. Specifically, the kitchen exhaust hood and Ansul lines (special hazard fire protection products) over the oven and stoves were grease and dust laden.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted from 12/7/21-12/10/21 the facility failed to have a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption for 2 of 2 nursing units (Units 1 and 2) reviewed. Specifically, the facility policy Food Brought in From Home did not document how long food items could be kept before discarding, how to safely reheat and serve residents' personal food including how to properly take food temperatures and what appropriate reheating temperatures were.