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Pennsylvania Department of Drug & Alcohol Programs
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ST. JOSEPH INSTITUTE, LLC
134 JACOBS WAY
PORT MATILDA, PA 16870

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Survey conducted on 02/03/2022

INITIAL COMMENTS
 
This report is a result of an on-site complaint investigation conducted February 3, 2022, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, St. Joseph Institute LLC was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
 
Plan of Correction

709.34 (c) (5)  LICENSURE Reporting of unusual incidents

§ 709.34. Reporting of unusual incidents. (c) To the extent permitted by State and Federal confidentiality laws, the project shall file a written unusual incident report with the Department within 3 business days following an unusual incident involving: (5) Outbreak of a contagious disease requiring CDC notification.
Observations
Based on a review of the unusual incident reports on February 3, 2022, the facility failed to inform the Department of an unusual incident involving an outbreak of a contagious disease requiring CDC notification within the required three days. It was discovered that the facility had an outbreak of a contagious disease, COVID-19, in January 2022 but unusual incident reports regarding staff infections were not submitted to the Department.This was reviewed with the Facility Director during the complaint investigation.
 
Plan of Correction
The Director of Nursing will complete an unusual incident report for every staff and client that is diagnosed with COVID-19 as well as any other outbreak of contagious disease. On 2/3/2022, the Director of Nursing completed and submitted the unusual incident reports for the seven COVID-19 cases that occurred in 2022 prior to the onsite investigation.

 
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