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 St Joseph Residence during CMS and state inspections, most recent first.
Two residents were physically assaulted by a family member in the dining room, with staff witnessing the incidents and removing the residents from harm. Although facility policy required contacting police for suspected crimes, the policy lacked clear guidance and the facility did not notify law enforcement, relying instead on the wishes of the residents' POA and the administrator's judgment.
A resident reported an abuse allegation involving a CNA, which the facility failed to report to the State Agency within the required 24-hour timeframe. The resident, who had intact cognition and was receiving hospice services, alleged that a CNA threw a washcloth in their face and rolled them in a way that caused sores. The initial report was submitted late, and the five-day investigation report was also delayed.
The facility failed to maintain an effective infection prevention and control program, as staff did not adhere to Enhanced Barrier Precautions (EBP) policies. A nurse did not wear a gown during wound care for a resident with a pressure injury, and a CNA applied lotion without PPE to a resident with wounds. Two residents with chronic wounds and a history of MRSA were not placed on EBP upon admission, indicating lapses in infection control practices.
The facility did not notify the State LTC Ombudsman of hospital transfers for two residents, as required. Despite policy requirements, the facility only informed the Ombudsman if a discharge was disputed or a 30-day notice was issued. This practice was confirmed by staff, even though an email from the Ombudsman indicated that notifications should be sent for unplanned discharges and transfers.
A resident with multiple diagnoses, including neuromuscular dysfunction of the bladder, was observed with their catheter tubing and drainage bag on the floor, contrary to facility policy. A CNA failed to reposition the bag, leaving it in contact with the floor, which was later confirmed as unacceptable by the DON.
A resident with a feeding tube was administered 237 mL of Jevity 1.2 instead of the 250 mL ordered by the physician. The error was observed by a surveyor and confirmed by both an LPN and a registered dietician, who acknowledged the discrepancy in the prescribed nutritional supplement volume.
Failure to Report Suspected Resident Abuse to Law Enforcement
Penalty
Summary
The facility failed to develop and implement adequate policies and procedures to ensure the timely reporting of suspected abuse, neglect, or theft, specifically in relation to the reporting of a reasonable suspicion of a crime as required by section 1150B of the Act. On the date of the incident, two residents were physically assaulted by a family member in the dining room. The family member aggressively grabbed one resident, pulled them in, and struck them in the mid-section with a closed fist. The same family member also slapped another resident on the hand, grabbed their other hand, and pulled their wheelchair toward them as the resident attempted to move away. Staff witnessed these events and removed the residents from the vicinity of the family member. Despite the facility's Abuse Prevention and Response policy stating that police should be contacted if there is a suspected crime against a resident, the policy did not provide examples of reportable crimes or indicate consultation with local law enforcement regarding reporting requirements. The facility did not notify local law enforcement of the incidents, and the Nursing Home Administrator confirmed that there had been no formal discussion with law enforcement to clarify what should be reported. The decision not to report was influenced by the residents' power of attorney declining to proceed with charges, and the administrator's belief that the abuse did not warrant police notification.
Failure to Timely Report Abuse Allegation
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident to the State Agency (SA) in a timely manner. On October 15, 2024, a resident reported to a student nurse that a Certified Nursing Assistant (CNA) had thrown a washcloth in their face while they were sleeping and had rolled them in a way that caused more sores on their buttock. The facility's policy requires that any suspected abuse be reported to the Department of Quality Assurance (DQA) immediately, but no later than 24 hours after the suspicion or notification of the abuse allegation. However, the initial report was submitted to the SA on October 16, 2024, at 11:10 AM, which was beyond the 24-hour requirement. The resident involved had been admitted to the facility with diagnoses including traumatic subdural hematoma with loss of consciousness, congestive heart failure, and cognitive communication deficit. The resident had a Brief Interview for Mental Status (BIMS) score indicating intact cognition and was receiving hospice services. The facility began an investigation on the same day the allegation was made, but the five-day investigation report was submitted late, on October 23, 2024. The Director of Nursing confirmed that both the Nursing Home Administrator and the Director of Nursing were aware of the late submission of the five-day report.
Infection Control Deficiencies in PPE Usage and EBP Implementation
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple deficiencies observed during the care of four residents. Staff did not adhere to the Enhanced Barrier Precautions (EBP) policy, which requires the use of personal protective equipment (PPE) during high-contact care activities. For instance, a registered nurse did not wear a protective gown while providing wound care to a resident with a stage 3 pressure injury, despite the presence of EBP signage and a PPE cart in the room. Another resident, who had a lymphedemic cluster wound and recurrent moisture-associated skin dermatitis, was not initially placed on EBP. A certified nursing assistant was observed applying lotion to the resident's leg without wearing a gown, even though a PPE cart was later placed outside the room. The resident was unsure of the reason for the PPE cart's presence, indicating a lack of communication and adherence to the EBP policy. Additionally, two residents with significant medical histories, including a history of MRSA and chronic wounds, were not placed on EBP upon admission. One resident had a Foley catheter and a stage 4 sacral pressure injury, while another had venous ulcers and pressure-induced deep tissue damage. The Director of Nursing later confirmed that these residents should have been on EBP, but their care plans did not reflect this requirement, highlighting a gap in the facility's infection control practices.
Failure to Notify Ombudsman of Hospital Transfers
Penalty
Summary
The facility failed to notify the State Long Term Care Ombudsman of hospital transfers for two residents, R22 and R43, as required. R22 was transferred to the hospital on two occasions for shortness of breath, and R43 was transferred to rule out cardiac issues. In both cases, the medical records did not include copies of the transfer notices provided to the Ombudsman. The facility's policy, revised in July 2021, required notification of the Ombudsman in such cases, but this was not adhered to. The surveyor's investigation revealed that the facility only notified the Ombudsman if a discharge was disputed or if a 30-day notice was given. The Social Worker and Nursing Home Administrator confirmed this practice, despite an email from the Ombudsman indicating that notifications should be sent for unplanned discharges and transfers. The facility's failure to consistently communicate with the Ombudsman and maintain proper documentation led to the deficiency.
Inadequate Catheter Care Leading to Infection Risk
Penalty
Summary
The facility failed to ensure that a resident received appropriate catheter care to prevent urinary tract infections. The resident, who had intact cognition and multiple diagnoses including neuromuscular dysfunction of the bladder and paraplegia, was observed with their catheter tubing and drainage bag on the floor under their bed. This was contrary to the facility's policy, which required the catheter bag to be kept below the level of the bladder and off the floor to prevent infections. A Certified Nursing Assistant (CNA) checked the resident's catheter but did not reposition the bag or tubing, leaving it in contact with the floor. The Director of Nursing confirmed that this was not acceptable practice. The resident later reported that a nurse had moved the catheter bag into a wash tub, but this was after the surveyor's observation of the deficiency.
Incorrect Administration of Jevity 1.2 to Resident
Penalty
Summary
The facility failed to administer the correct amount of Jevity 1.2, a nutritional meal supplement, to a resident with a feeding tube. The resident, who had diagnoses including Alzheimer's disease, dementia, adult failure to thrive, dysphagia, and required attention to a gastrostomy tube, was observed receiving 237 mL of Jevity 1.2 instead of the 250 mL ordered by the physician. This discrepancy was noted during an observation by a surveyor, who witnessed an LPN administering the incorrect volume. Both the LPN and a registered dietician confirmed that the resident's order specified 250 mL of Jevity 1.2, and the error was acknowledged during interviews with the staff.
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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 New London
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avina Of Weyauwega | 9.8 mi | — | 3 | 0 |
| Manawa Com Nur Ctr | 10.7 mi | — | 0 | 0 |
| Brewster Village | 15.4 mi | — | 4 | 0 |
| Bethany Home | 17.1 mi | — | 2 | 0 |
| Rennes Health And Rehab Center-appleton | 17.5 mi | — | 0 | 0 |
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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.