Inspection Results » St James Nursing Center

Health Inspection on September 4, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-24)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-09-24)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-24)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-09-24)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-24)
   • Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. (Corrected 2018-09-24)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-09-24)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-09-24)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-09-24)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-09-24)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-24)
   • Dispose of garbage and refuse properly. (Corrected 2018-09-24)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Corrected 2018-09-24)
   • Respond appropriately to all alleged violations. (Corrected 2018-09-24)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-09-24)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-09-24)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-09-24)