Josephine Caring Community

One staff member failed to complete first aid training with hands-on skill development, leaving them without required training for job duties and placing residents at risk.

Failed to address and support resident needs related to fall risks in the Negotiated Service Agreement (NSA) for one resident, resulting in no plan for fall interventions.

Facility failed to have an active Registered Nurse Delegator (RND) in place for ten days (07/11/2025 to 07/22/2025), resulting in 43 residents receiving medication administration without required RND supervision.

Failure to keep interior and exterior clean and in good repair; observed wall abrasions, broken blinds, dirty gloves/rags, stains under sink, dirty tissues/spider webs, and missing siding.

Medicaid contract participation notice was written in font smaller than 14 point.

Facility failed to ensure 2 of 5 staff completed required specialized dementia and mental health training.

Facility failed to report a water leak and related dining room closure/resident relocation to the Complaint Resolution Unit.

Failed to investigate a laceration to a resident's thigh that required stitches.

Failed to perform annual self-administration of medication assessment for a resident.

Failed to assess a resident for the ability to independently store and self-administer medications.

Failed to identify a right heel blister in a resident's assessment, leading to 22 days of untreated wound.

Resident room #205 fire door blocked open by a wedge, preventing it from closing and latching.

Smoke detector near room #201 installed within 36 inches of an air supply diffuser or return air opening.

Facility unable to provide documentation for required smoke detector sensitivity testing.

Facility unable to provide documentation for the annual servicing of the emergency generator.

Missing participation list for Oct/Nov 2022 drills; failed to provide documentation for 12 planned/unannounced drills in the previous 12 months; multiple specific shifts/quarters missing.

The facility failed to report reasonable cause to believe financial exploitation occurred for 1 resident to the Department's Complaint Resolution Unit and local police, despite facility staff noting the resident lacked funds for personal essentials while being managed by a power of attorney.

The facility failed to coordinate with prescribers and pharmacy to ensure physician's orders were clearly defined, leading to conflicting entries on the medication administration record.

Review of the resident's anti-anxiety medication on the EMAR showed multiple physician orders resulting in conflicting entries.