Inspection Reports for
St Josephs Home

950 Linden Street, Ogdensburg, NY, 13669

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 7.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

16 12 8 4 0
2019
2021
2022
2024

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 11 Date: Mar 29, 2024

Visit Reason
Deficiencies in bedrails, abuse/neglect policies, food sanitation, and multiple life safety code issues were identified and corrected.

Findings
Deficiencies in bedrails, abuse/neglect policies, food sanitation, and multiple life safety code issues were identified and corrected.

Deficiencies (11)
R9-10-803.J — Abuse reporting documentation
Bedrails
Food procurement, store/prepare/serve-sanitary
Hazardous areas - enclosure
Sprinkler system - installation
Corridors - areas open to corridor
Egress doors
Electrical equipment - power cords and extens
Fire alarm system - testing and maintenance
Vertical openings - enclosure
Personal food policy

Inspection Report

Abbreviated Survey
Deficiencies: 1 Date: Mar 29, 2024

Visit Reason
The inspection was conducted as a recertification and abbreviated survey to assess compliance with policies preventing abuse, neglect, and exploitation of residents.

Findings
The facility failed to implement adequate policies and procedures to prevent abuse and neglect for one resident. Specifically, a certified nurse aide was observed pushing a resident into their wheelchair and did not report the incident, and a recreation aide witnessed the abuse but did not intervene or report it immediately.

Deficiencies (1)
F 0607: The facility did not implement policies and procedures to prevent abuse, neglect, and exploitation of residents. A certified nurse aide pushed a resident into their wheelchair in an abusive manner and failed to report the incident. A recreation aide witnessed the abuse but did not intervene or report it immediately.
Report Facts
Residents Affected: 3 Date Survey Completed: Mar 29, 2024

Employees mentioned
NameTitleContext
Certified Nurse Aide #7Named in abuse incident and termination
Recreation Aide #8Witnessed abuse but did not intervene or report immediately
Director of NursingProvided statements about abuse policy and expectations
AdministratorProvided statements about abuse training and incident

Inspection Report

Abbreviated Survey
Deficiencies: 4 Date: Mar 29, 2024

Visit Reason
The survey was conducted as a recertification and abbreviated survey to assess compliance with regulatory requirements including abuse prevention, restraint use, medication administration, and food service safety.

Findings
The facility was found deficient in implementing policies to prevent abuse, neglect, and exploitation; failing to obtain informed consent and review risks and benefits for enabler rails; medication administration errors including leaving medications unattended; and food service safety violations including uncovered and undated food and unclean kitchen equipment and surfaces.

Deficiencies (4)
F 0607: The facility failed to implement policies and procedures to prevent abuse, neglect, and exploitation for 1 of 3 residents reviewed. A certified nurse aide was observed pushing a resident into their wheelchair and did not intervene or report the incident immediately as required.
F 0700: The facility did not review risks and benefits or obtain informed consent prior to installation of enabler rails for 10 of 10 residents reviewed. Documentation and resident/representative discussions were lacking.
F 0760: Resident #14's medications were left unattended in a cup on the bedside table for over 5 hours and documented as administered when they were not, posing a risk of medication errors.
F 0812: The facility did not ensure food storage, preparation, distribution, and service met professional standards. Observations included uncovered and undated food, unclean food slicer and can opener, and unclean ceiling tiles and walls in the kitchen.
Report Facts
Residents affected: 1 Residents affected: 10 Residents affected: 1 Residents affected: 1

Employees mentioned
NameTitleContext
Certified Nurse Aide #7Named in abuse incident involving Resident #23 and Resident #24
Recreation Aide #8Former Recreation Aide, now Registered NurseWitnessed abuse incident but did not intervene or report immediately
Licensed Practical Nurse #3Documented medication administration for Resident #14 but left medications unattended
Director of NursingProvided statements on abuse policy, enabler rail use, and medication administration expectations
Food Service Supervisor/Cook #4Provided statements on food safety and kitchen cleanliness
Registered Nurse Manager #2Provided statements on medication administration and enabler rail use

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 25, 2022

Visit Reason
Citation for failure in reporting to national health safety network; no corrections noted.

Findings
Citation for failure in reporting to national health safety network; no corrections noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 18, 2022

Visit Reason
Citation for failure in reporting to national health safety network; no corrections noted.

Findings
Citation for failure in reporting to national health safety network; no corrections noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: May 30, 2022

Visit Reason
Citation for failure in reporting to national health safety network; no corrections noted.

Findings
Citation for failure in reporting to national health safety network; no corrections noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: May 23, 2022

Visit Reason
Citation for failure in reporting to national health safety network; no corrections noted.

Findings
Citation for failure in reporting to national health safety network; no corrections noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: May 16, 2022

Visit Reason
Citation for failure in reporting to national health safety network; no corrections noted.

Findings
Citation for failure in reporting to national health safety network; no corrections noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Apr 18, 2022

Visit Reason
Citation for failure in reporting to national health safety network; no corrections noted.

Findings
Citation for failure in reporting to national health safety network; no corrections noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: Dec 10, 2021

Visit Reason
Deficiencies in food sanitation and personal food policy; life safety code issues with hazardous areas and sprinkler system; all corrected by January 30, 2022.

Findings
Deficiencies in food sanitation and personal food policy; life safety code issues with hazardous areas and sprinkler system; all corrected by January 30, 2022.

Deficiencies (4)
Food procurement, store/prepare/serve-sanitary
Personal food policy
Hazardous areas - enclosure
Sprinkler system - installation

Inspection Report

Renewal
Deficiencies: 2 Date: Dec 10, 2021

Visit Reason
The inspection was a recertification survey conducted from 12/7/21 to 12/10/21 to assess compliance with regulatory standards for the nursing home.

Findings
The facility failed to properly maintain kitchen exhaust hoods and Ansul suppression lines, which were grease and dust laden. Additionally, the facility lacked a policy for the safe use and storage of foods brought in by residents' families, including proper reheating and temperature monitoring procedures.

Deficiencies (2)
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards due to grease and dust accumulation on kitchen exhaust hoods and Ansul suppression lines. The semi-annual cleaning was last completed in September 2021, but gaps in hood filters and uncleaned suppression lines were observed.
F 0813: The facility lacked a policy regarding the use and storage of foods brought in by family and visitors, failing to document safe reheating temperatures, food temperature monitoring, and duration for keeping resident food. Staff did not use thermometers when reheating food and relied on resident preference for temperature.
Report Facts
Deficiencies cited: 2 Dates of hood cleaning: 2 Resident food items observed: 3

Employees mentioned
NameTitleContext
Food Service ManagerProvided information about hood cleaning and food reheating practices
Facility ManagerProvided information about hood cleaning procedures
Licensed Practical Nurse (LPN) #3Described staff practices for labeling and reheating food brought in by families
Director of Nursing (DON)Described food reheating practices and lack of thermometer use
AdministratorDescribed food temperature determination based on resident preference

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Jun 6, 2019

Visit Reason
The inspection was conducted as a recertification survey to evaluate the facility's infection prevention and control program compliance.

Findings
The facility failed to establish and maintain an effective infection prevention and control program, specifically the nurse did not perform hand hygiene between residents during medication administration for 4 of 13 observed residents.

Deficiencies (1)
F 0880: The facility did not establish and maintain an infection prevention and control program. The nurse failed to perform hand hygiene between residents during medication administration for 4 of 13 residents observed.
Report Facts
Residents observed: 13 Residents affected: 4

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN) #6Observed failing to perform hand hygiene during medication administration
Director of NursingProvided interview regarding hand hygiene expectations

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