Avante at St Cloud Inc

In the surveyor’s words

From the most serious findings on record at Avante at St Cloud Inc, in the surveyor’s own words.

• Actual harm, isolatedF697Jul 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure pain medication was administered to mitigate pain during a stage four pressure wound treatment for 1 of 1 resident reviewed for Pressure Wounds, of a total sample of 52 residents, (#16). Findings:Review of the medical record revealed resident #16, an [AGE] year-old female was admitted to the facility from an acute care hospital on 3/05/20. The resident's active diagnoses included unspecified convulsion, difficulty in walking, unspecified protein/calorie malnutrition, unspecified dementia, anxiety, depression, dysphagia (difficulty swallowing), unspecified feeding difficulties, stage 4 pressure ulcer of the left hip, and unspecified pain.The most recent Quarterly Minimum Data Set (MDS) Assessment with an… […]

• No harm, potential for more than minimal, patternF640Jul 16, 2026

  Based on interview, and record review, the facility failed to timely complete 4 of 5 Minimum Data Set (MDS) Discharge Assessments, (#13, #39, #73, #96); and transmit 5 of 5 (#10, #13, #39, #73, #96) MDS Discharge Assessments reviewed for Resident Assessment, of a total sample of 52 residents.Findings:1. Review of the medical record revealed resident #10 was admitted to the facility on [DATE] and discharged on 1/16/26.The Electronic Health Record (EHR) noted resident #10's Discharge Return Anticipated/End of Service MDS Assessment was completed on 4/16/26 and accepted by the Centers for Medicare and Medicaid Services (CMS) on 4/20/26.In a joint interview on 7/16/26 at 10:30 AM, with the Lead MDS Coordinator and MDS Coordinator, the Lead MDS Coordinator checked resident #10's record and… […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observation, interview, and record review, the facility staff failed to follow hygienic practices by not donning hair nets to ensure food served to 119 of 122 residents, was protected from physical contaminants. Findings: On 7/15/26 at 11:45 AM, the lunch tray line in the kitchen was observed. When the Certified Dietary Manager (CDM) checked the hot holding temperatures of the food on the steam table, a kitchen staff member walked behind him but was not wearing a hair net. The staff member had curly blonde hair, put up in a small bun, but the staff member was not wearing a hair restraint to ensure any food being held on the steam table or prepared for lunch nearby, was protected from physical contaminants such as hair. […]

• No harm, potential for more than minimal, patternF867Jul 16, 2026

  Based on observation, interview, and record review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify repeat deficiencies and area of systemic non-compliance with Accuracy of Assessments, Pain Management, and Respiratory/Tracheostomy Care identified by the survey team. The deficient practice had the potential to affect more than a limited number of residents by not ensuring consistent monitoring and follow-up of identified problems.Findings: Review of the facility's survey history revealed repeat deficiency concerns for accuracy of assessments, pain management, and respiratory/tracheostomy care. […]

• No harm, potential for more than minimal, patternF880Jul 16, 2026

  Based on observation, interview, and record review the facility failed to adhere to infection prevention and control practices related to the use of personal protective equipment (PPE) during the transport and handling of soiled laundry; failed to implement transmission based precautions as ordered by physician for 1 of 4 residents reviewed for transmission based precautions, (#70); and failed to ensure staff performed hand hygiene prior to donning gloves during medication administration in accordance with accepted infection prevention and control practices for 3 of 5 medication passes observed, (#41, #88, and #19) of a total sample of 52 residents. Findings: 1. […]