Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Josephs Home during CMS and state inspections, most recent first.
Staff restricted resident-to-resident socializing and family presence during meals by enforcing assigned seating and telling a resident to return to their own table or wait until others finished eating before visiting. A resident’s family member was also told they could not sit in the dining room during a meal, and staff confirmed visitors were generally not allowed unless previously approved.
A resident with diabetes and diabetic neuropathy used a personal glucose sensor device and had a sliding-scale Novolog order. The MAR did not properly carry forward the ordered weekly verification finger sticks, and two blood glucose/insulin administrations were not documented, including one reading that should have resulted in insulin coverage. Staff interviews confirmed the missing documentation and uncertainty about why the ordered checks and insulin entries were not recorded.
Failure to monitor and document dialysis care: A resident with CKD and ESRD received hemodialysis at an outside center three times weekly, but the facility had no documented dialysis policy, no specific care plan interventions, and no physician orders for post-dialysis assessment or access-site monitoring. Repeated dialysis trips were documented, yet there was no evidence of pre- or post-dialysis evaluations. The resident said staff did not manage the access site, and the DON could not explain the dialysis treatment, access type, or need for a physician order.
A resident with depression, PTSD, and a history of hallucinations did not have a person-centered care plan with specific interventions to address psychosocial needs, and there were no social work progress notes for an extended period. Nursing notes documented repeated behavioral concerns, including ripping off briefs, refusing care and meals, and combative behavior with staff. The DON stated the care plan did not address the resident’s depression or PTSD, and the resident’s representative reported concerns that medication changes were not effective.
Failure to Post Required Daily Staffing Information: The facility did not post the required daily staffing information at the beginning of each shift in a prominent location. A staffing sheet was absent at first, then later posted with only the number of staff in each department; it did not include the current census or the actual hours worked by RN, LPN, and CNA staff. The Administrator stated the facility posted staffing for families to view staffing levels, but the hours worked were not posted.
Restricted Dining Room Interaction and Family Visitation
Penalty
Summary
The facility failed to ensure residents were treated with respect and dignity during meal service in both dining rooms. The deficiency involved the dining room rules that limited residents from visiting other tables and prevented visitors from sitting with residents during meals, even when the residents and other diners did not object. The facility policy stated residents had a right to a homelike environment, immediate and unlimited access by friends and family, and the ability to interact with members of the community, while the dining room management policy allowed the facility to limit movement in the dining room during mealtime. During observations and interviews, a resident who was highly social was told by nursing staff to return to their assigned seat and not visit other tables until lunch was over, despite other residents inviting the resident to sit with them and stating they did not mind the interaction. On another occasion, the same resident was told by a CNA to go back to their own seat after moving to an open seat at another table, and an LPN told the resident they could visit only after the other residents were done eating. The resident stated they had been told they were not allowed to visit friends during meals due to germs, while other residents stated they did not mind the resident visiting their table. Family visitation during meals was also restricted. A resident’s adult sibling stated the resident always ate lunch in their room because visitors were not allowed in the dining room. Another resident stated their adult grandchild came to visit during dinner, pulled up a chair near the table, and was told by staff they could not sit down because people were eating. The grandchild was told to leave after staff contacted someone about the rule. Staff interviews confirmed that family members were generally not allowed to sit with residents in the dining room during meals unless previously approved by the interdisciplinary team, and residents were expected to remain at their assigned seats until mealtime was over.
Missed Blood Glucose and Insulin Documentation for Resident Using Sensor Device
Penalty
Summary
The facility failed to ensure Resident #3 received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident’s choice. Resident #3 had diabetes with diabetic neuropathy, was cognitively intact, required moderate to set-up assistance for most activities of daily living, and received insulin. The care plan documented that the resident wanted to use their own diabetic monitor and sensor patches for glucose checks and could demonstrate use of the monitor. A physician order dated 02/10/2026 directed sliding scale Novolog three times daily before meals based on blood glucose results. On 02/17/2026, the RN Unit Manager documented that the resident had their own glucose monitor sensor and wished to use it instead of three-times-daily finger sticks. The provider was updated and an order was obtained for the resident to use the glucose monitor with resident-supplied supplies, to change the sensor patch every 15 days, to use finger sticks three times daily if the sensor supply was out or not working, and to have finger sticks twice daily weekly while using the sensor. The physician telephone order also documented use of the resident’s own glucose monitor sensor three times daily and twice-daily weekly finger sticks. The MAR for February documented use of the sensor for glucose checks three times daily and finger sticks twice daily once weekly, but the MAR did not include an area to document the weekly twice-daily finger sticks. In March 2026, the MAR documented weekly fingerstick glucose checks to verify the sensor on 03/10/2026 and 03/17/2026, but the entries were crossed out with handwritten error corrections, and there was no documented order to discontinue the twice-daily weekly finger sticks. The MAR also lacked documentation for blood glucose and insulin on 03/01/2026 at 4:00 PM, and on 03/06/2026 the resident’s blood glucose was 166 mg/dL with no insulin documented despite the sliding scale order indicating 6 units. During interviews, an LPN stated the resident reported the glucose reading and the nurse wrote it in the MAR and administered insulin, but could not explain why the blood glucose or insulin were not recorded on those dates. The RN Unit Manager stated the resident’s weekly finger sticks were not carried over to March 2026 and later stated the MAR should have been completed with the resident’s blood glucose level and insulin units given.
Failure to Monitor and Document Dialysis Care
Penalty
Summary
Resident #12, who had chronic kidney disease, end stage kidney disease, and dependence on dialysis, received hemodialysis at a community-based dialysis center three times per week. The 12/13/2025 MDS documented the resident was cognitively intact and dependent on dialysis treatments. The comprehensive care plan, reviewed and revised on 03/15/2026, noted kidney failure and hemodialysis on Monday, Wednesday, and Friday, but did not include specific care instructions, interventions, or potential risk factors related to dialysis. There was no documented evidence of a dialysis policy in the facility, and there were no physician orders found for assessing and monitoring the resident after dialysis or for caring for and monitoring the dialysis access site. The dialysis and nursing home communication log showed repeated dialysis visits in February and March 2026, but there was no documented evidence of pre-dialysis or post-dialysis evaluations for those trips. During an observation and interview on 03/18/2026, the resident stated they had recently returned from dialysis and confirmed the Monday, Wednesday, Friday schedule. The resident also stated facility staff did not manage the dialysis access site and did not change the dressing because this was done at dialysis. The dialysis site Patient Care Coordinator stated a communication binder was shared between the nursing home and dialysis center to communicate health status and medication changes. The DON stated the dialysis orders were stored in the basement, could not explain what type of dialysis treatment the resident received, was not aware of the type of dialysis access site, and did not know that a physician order was required for dialysis treatments.
Failure to Provide Social Services and Person-Centered Care Planning for Resident with Depression and PTSD
Penalty
Summary
The facility failed to provide medically related social services to support Resident #6’s highest practicable physical, mental, and psychosocial well-being. The resident had diagnoses including depression, post-traumatic stress disorder, and a history of hallucinations, and the 06/30/2025 MDS documented psychiatric/mood disorder including depression and PTSD. The resident’s care plan history showed trauma-related concerns, including loss of loved ones, loss of roles and identity, and regular nightmares, but the comprehensive care plan did not include specific interventions to manage the resident’s depression or PTSD. One care plan noted the resident had made suicidal statements such as going to sleep and not waking up, while another documented antidepressant use that had been gradually reduced and discontinued. The record also showed a lack of social work follow-up for an extended period. There were no documented social work progress notes from 10/01/2025 through 03/18/2026. The Social Services Manager stated the resident had a trauma care plan and that the social worker would see the resident and discuss feelings, but also stated they did not write progress notes about the resident. The Social Services Manager further stated the resident was discussed frequently because of a flat affect, and that the resident expressed themself with head shaking and thumbs up or down, but these details were not reflected in the part 1 care plan. Nursing notes documented multiple behavioral and psychosocial concerns during the review period, including ripping off and throwing incontinence briefs, refusing a shower and breakfast, being extremely combative at lunch, hitting and grabbing staff, resisting ADL care, and refusing meals. During observations, the resident was lying in bed in a dark room with no lights, television, or radio on and did not respond to greeting. The resident’s representative stated they were unhappy with medication changes and did not believe the current medications were effective. The DON stated the resident’s status had declined since admission and that the care plan did not address depression or PTSD, instead directing staff to involve the resident in activities.
Failure to Post Required Daily Staffing Information
Penalty
Summary
The facility failed to post, on a daily basis at the beginning of each shift, the current resident census and the total number and actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care in a prominent location readily accessible to residents and visitors for 5 of 5 days reviewed. On 03/16/2026 at 1:08 PM, there was no staffing posting displayed in the lobby on the sign-in table, on the bulletin board above the sign-in table, in the reception area, in the glass cases down the hall from the chapel, or in the breezeway. Later on 03/16/2026 at 3:42 PM, a staffing sheet was posted above the Health Survey Results folder on the bulletin board in the lobby, but it did not include the number of actual hours worked and only listed the number of people in each department, including RN, LPN, CNA, activities, laundry, dietary, maintenance, and physical therapy. During multiple observations from 03/17/2026 to 03/20/2026, the posted staffing sheet continued to include only the date and the number of staff working in each department for applicable shifts. The nursing department numbers were broken down into nurses and CNAs only, with no facility name, no daily census, and no number of actual hours worked. During interview, the Administrator stated the facility posted staff every morning, that the purpose was to notify residents' families of staffing levels, and that the number of hours staff worked were not posted for families to view.
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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 Ogdensburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| United Helpers Canton Nursing Home | 16.1 mi | ★★★★★ | 0 | 0 |
| Massena Rehabilitation & Nursing Center | 32.3 mi | ★★★★★ | 39 | 1 |
| North Country Nursing & Rehabilitation Center | 34.5 mi | ★★★★★ | 24 | 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 July 2026) and official state health department websites.