Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Jnh-jefferson Inn during CMS and state inspections, most recent first.
A deficiency was cited for not ensuring a resident's right to dignity, self-determination, communication, and the exercise of their rights. The report does not specify the exact circumstances or individuals involved.
A resident with Huntington's Disease and other conditions did not consistently receive the prescribed dietary supplement, Boost, with meals, as per physician orders. Observations and interviews revealed that the supplement was missing from the resident's meal tray on multiple occasions, despite the facility's protocol to ensure dietary orders are followed. The responsibility for providing the supplement was confirmed to lie with the nursing staff, but lapses in adherence to the orders were noted.
The facility did not follow its policy to date multidose vials upon opening, as observed in two medication refrigerators. Opened vials of Novolin R and Levemir were found undated, despite staff training on this procedure. Interviews with nursing staff and the DON confirmed the responsibility to date vials, highlighting a lapse in adherence to the policy.
A facility failed to ensure a CNA followed a resident's care plan, resulting in an unwitnessed fall. The resident, with profound IDD and other conditions, required siderails while in bed. Despite this, the CNA lowered the siderails to prevent agitation, leading to the fall. The incident was confirmed by the Administrator, DON, and the CNA involved, all acknowledging the care plan was not followed.
A resident with severe cognitive impairment and multiple diagnoses fell from bed because the assigned CNA did not follow the physician's order to keep the side rails up. The CNA lowered the side rails to prevent agitation but did not inform the nurse on duty, leading to the resident's fall. The facility's investigation confirmed that the CNA was aware of the side rail requirement but chose not to follow it.
Failure to Honor Resident Rights
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a dignified existence, self-determination, communication, and the exercise of their rights. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions that led to this deficiency, nor does it mention any particular events or residents involved.
Failure to Provide Prescribed Dietary Supplements
Penalty
Summary
The facility failed to follow physician orders for dietary supplements for a resident, leading to a deficiency in nutritional care. Observations revealed that the resident, who could feed himself, did not receive the prescribed dietary supplement, Boost, with his meals on multiple occasions. On one occasion, a CNA noticed the absence of Boost and retrieved it for the resident, who then consumed it immediately. Interviews with the Registered Dietitian (RD) and CNAs confirmed that the resident was supposed to receive Boost four times a day, as per the physician's orders. However, the supplement was not consistently provided with the resident's meals. The Director of Nursing (DON) stated that when there is a nutritional change, the order is communicated to relevant staff, including the RD, pantry personnel, nurses, and CNAs. It was confirmed that it is the nurse's responsibility to ensure the resident receives the supplement as ordered and to document it accurately. Despite this protocol, the resident's dietary supplement was not consistently provided, indicating a lapse in following the physician's orders. The resident's medical history includes Huntington's Disease, Depression, and Gastric Esophageal Reflux Disease, and the physician's orders specified a pureed diet with double portions and Boost four times a day.
Failure to Date Opened Multidose Vials
Penalty
Summary
The facility failed to adhere to its policy regarding the dating of multidose vials upon opening, as observed in two of the four medication refrigerators in the medication storage rooms. During an inspection, it was found that vials of Novolin R and Levemir in the medication refrigerators on both the first and second floors of Building 33 were opened but not dated. This is contrary to the facility's policy, which requires that all multidose vials be dated with a 28-day expiration date from the time of initial puncture. Interviews with nursing staff, including an LPN and an RN, revealed that it was the responsibility of the nurse who opened the vial to date it. Both nurses confirmed that they had received training on medication labeling and storage, including the importance of dating insulin vials. The Director of Nursing also confirmed that nurses were trained on this policy and were expected to follow it. Despite this training, the failure to date the vials was observed, indicating a lapse in adherence to the established procedures.
Failure to Follow Care Plan Results in Resident Fall
Penalty
Summary
The facility failed to ensure a Certified Nurse Aide (CNA) followed the resident's care plan, resulting in an unwitnessed fall from the bed for one of the residents reviewed for accidents. The care plan for the resident, who has profound Intellectual and Developmental Disability (IDD), Delusional Disorder, and is unaware of safety hazards, required the use of siderails while in bed. Despite this, CNA #1 decided to lower the siderails to prevent the resident from becoming agitated, which led to the resident falling from the bed. The incident was confirmed by the Administrator, Director of Nursing (DON), and the CNA involved, all of whom acknowledged that the care plan was not followed as required. The resident, admitted to the facility with diagnoses including Delusional Disorder, Atrial Fibrillation, and Hypertension, fell from the bed when the siderails were not in place as specified in the care plan. The Licensed Practical Nurse (LPN) who assessed the resident after the fall confirmed that the siderails were down at the time of the incident. The DON stated that CNAs had been educated on following the care plan, and the ADL guidebook, which includes specific care instructions for each resident, reflected the siderail requirement for this resident. However, CNA #1 did not adhere to these guidelines, leading to the fall.
Failure to Implement Physician-Ordered Assistive Devices
Penalty
Summary
The facility failed to ensure a dependent resident was supervised and that physician-ordered assistive devices were implemented to prevent an unwitnessed fall from bed. The resident, who had severe cognitive impairment and diagnoses including Delusional Disorder, Atrial Fibrillation, and Hypertension, had a physician's order for the bed's side rails to be up due to her inability to foresee potential hazards. However, the assigned CNA did not follow this order and lowered the side rails, leading to the resident's fall. The CNA admitted to not notifying the nurse on duty about the resident's behaviors or the decision to lower the side rails. The facility's investigation revealed that the CNA was aware of the side rail requirement as documented in the ADL guidebook but chose to lower the rails to prevent the resident from becoming agitated. The CNA's actions were not communicated to the nurse on duty, who later found the resident on the floor with the side rails down. The facility's policy and the resident's care plan were not adhered to, resulting in the fall. Interviews with the Administrator and DON confirmed that staff are expected to follow physician orders and the care plan, which was not done in this case.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Whitfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jnh-jaquith Inn | 0 mi | — | 7 | 0 |
| Jnh-madison Inn | 0 mi | — | 2 | 0 |
| Wisteria Gardens | 3.5 mi | — | 3 | 0 |
| Brandon Community Care Center | 4.1 mi | — | 2 | 0 |
| Brandon Court | 4.3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.