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St. Josephs Place: Cardiology Follow-Up Missed - NY

St. Josephs Place: Cardiology Follow-Up Missed - NY
Healthcare Facility
St Josephs Place
Port Jervis, NY  ·  4/5 stars

The resident, identified in inspection records only as Resident 17, came to St. Josephs Place in early February 2026 after a hospitalization. Their medical history included a myocardial infarction, a cerebral infarction, and occlusion and stenosis of the left carotid artery, the vessel that carries blood to the left side of the brain. The blockage meant the resident was at serious risk of another stroke or cardiac event. The hospital discharge instructions, dated February 5, 2026, were direct: schedule a follow-up with cardiology within one month.

That appointment was not scheduled within one month.

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The resident's family noticed. According to inspection records, the resident's representative raised the issue directly with the Director of Nursing after admission, explaining that the hospital had required a cardiology consultation and that time was running out. They discussed the discharge instructions. They asked for help getting the appointment on the calendar.

Nothing happened.

The representative kept pushing. By the time a federal inspector interviewed them on March 27, 2026, nearly seven weeks after the discharge instructions were written, the appointment had finally been scheduled. For April 1, 2026. Almost two months after the one-month deadline had passed.

The Director of Nursing, interviewed on March 30, acknowledged the delay and offered an explanation that raised its own questions. She told the inspector that the resident's representative had informed her a cardiology consultation was needed after admission. She said it should have been scheduled sooner. Then she said she had not seen the follow-up appointment requirement on the discharge summary, and that she was unaware there were additional discharge papers documenting the need.

There were additional discharge papers. They said, in plain language, to schedule cardiology within one month. The family had told her about them. She had not acted on the information.

The inspection was a complaint survey, meaning someone had formally reported a problem before inspectors arrived. Federal inspectors cited the facility under New York state health regulations for failing to ensure Resident 17 received care in accordance with professional standards of practice.

The citation covered one of four residents reviewed for activities of daily living during the inspection. The level of harm was classified as minimal harm or potential for actual harm, the lower end of the federal scale. Whether a two-month gap in cardiac follow-up for a patient with a blocked carotid artery and a history of both stroke and heart attack constitutes minimal harm is a clinical judgment the inspection record does not fully resolve.

What the record does resolve is this: the family knew, the nursing director was told, and the appointment still did not get scheduled. The resident's representative described having to persist, repeatedly, before anyone at the facility acted. Moderately impaired cognition was documented in the admission assessment, which meant the resident could not navigate this alone. The family was the only reason the appointment happened at all.

St. Josephs Place serves residents in Port Jervis, in Orange County. The inspection was conducted on March 30, 2026.

The cardiology appointment was set for two days after that.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for St Josephs Place from 2026-03-30 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: June 17, 2026  ·  Our methodology

Quick Answer

ST JOSEPHS PLACE in PORT JERVIS, NY was cited for violations during a health inspection on March 30, 2026.

The resident, identified in inspection records only as Resident 17, came to St.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at ST JOSEPHS PLACE?
The resident, identified in inspection records only as Resident 17, came to St.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in PORT JERVIS, NY, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from ST JOSEPHS PLACE or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 335692.
Has this facility had violations before?
To check ST JOSEPHS PLACE's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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