Port Jervis, NY

St Josephs Place

5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

160 East Main Street, Port Jervis, NY

(845) 856-5351

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

38

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-04-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.95

Registered nurse staffing

LPN hours / resident day

0.81

Licensed practical nurse staffing

Aide hours / resident day

2.00

Nurse aide staffing

Weekend hours

3.27

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

22%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.9 About the same	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.3 0.3 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.2%	91.2% About the same	93.4% 2.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.3% 4.7 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.0% 1.2 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.0%	18.5% 18.5 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	2.8%	6.1% 3.3 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.5%	13.5% 6 pts worse	19.6% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	24.0%	14.8% 9.2 pts worse	16.7% 7.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	12.8%	15.1% 2.3 pts better	16.3% 3.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	13.0%	15.5% 2.5 pts better	14.9% 1.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.0%	0.6% 1.4 pts worse	1.0% 1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.8%	1.4% 0.4 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.7%	20.8% 6.9 pts worse	19.8% 7.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.7%	6.9% 3.2 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.1%	76.7% 0.6 pts worse	81.7% 5.6 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	12.3%	9.7% 2.6 pts worse	12.0% 0.3 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.2% 0.2 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.1%	78.8% 9.3 pts better	79.7% 8.4 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.8%	20.6% 6.2 pts worse	23.9% 2.9 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-19 · Fire 2024-02-19

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2021-08-04 · Fire 2021-08-04

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-06-07 · Fire 2019-06-07

4 health deficiencies

Top issue: Administration (1 deficiency)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-02-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-02-19

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-11

E · Potential for more than minimal harm 2021-08-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-04

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-04

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-04

K381 · Smoke Deficiencies

Fire Safety

Provide outside doors or windows in every resident room.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-09-30

C · Minimal harm 2021-08-04

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2021-09-30

C · Minimal harm 2021-08-04

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2021-09-30

E · Potential for more than minimal harm 2019-06-07

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-08-05

C · Minimal harm 2019-06-07

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-08-05

C · Minimal harm 2019-06-07

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2019-08-05

C · Minimal harm 2019-06-07

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2019-08-05

B · Minimal harm 2019-06-07

K381 · Smoke Deficiencies

Fire Safety

Provide outside doors or windows in every resident room.

Corrected 2019-08-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2019-06-07

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-07

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2019-08-05

B · Minimal harm 2019-06-07

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-08-05

Penalties and ownership

What sits behind the stars

Ownership

Bon Secours Charity Health System, Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2000-01-01

Baker, Patrick