St. Joseph's Home, Llc

Assist residents with self-administered medication

Based on LPA medication audit and record review of the Medication Administration Record (MAR), the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. Facility wrote "ran out" on R1's medication card for Potassium. Med card documents that the medication ran out on 5/23/24. R1 has not received this medication 5/24, 5/25, 5/26/24. CCL, RP and PCP have not been informed.

Document each PRN medication dose taken

Based on record review of the MAR, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. PRN medications are being documented on the routine MAR, identified as PRN.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. LPA observed Milk of Magnesia and prefilled syringes stored in the kitchen refrigerator in a plastic bag

Notify agency before locking doors or gates

Based on observation, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed laundry detergent and softener in a black bag under the sink in a "connon bathroom" as well as cleaning, disinfecting and bug/ant spray under the kitchen sink. The kitchen sink has a lock, which was not locked.

Health screening and fitness requirements

Based on interview and record review, the licensee did not comply with the section cited above. S1 and S2 did not have proof of TB test results, which poses a potential health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

Based on observations, the licensee did not comply with the section cited above. LPA observed two knives and one scissor accessible in the kitchen sink and on the kitchen counter, one bottle of bleach was left outside accessible on the patio, the centrally stored medication cabinet door was left open and accessible, and hall closet door where cleaning products were stored was left open and accessible while Licensee stepped away to assist a resident, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observations, the licensee did not comply with the section cited above. Both fire extinguishers were last serviced on 2/23/21, which poses an immediate safety or personal rights risk to persons in care.