Cascades of St Anne

In the surveyor’s words

From the most serious findings on record at Cascades of St Anne, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 13, 2021

  Based on observation, interview and record review, the facility failed to ensure mechanical lift slings were in good working condition for 1 of 3 residents (Resident 1) reviewed for accidents and hazards. This failure to ensure an effective system was in place for inspecting and ensuring the good working condition of mechanical lift slings resulted in Resident 1 experiencing a fall while being transferred in a mechanical lift sling which broke while in use. The facility did not have a system in place to ensure mechanical lift slings were in safe condition for transferring residents which increased the likelihood of serious harm, injury, impairment, and death related to recurring incidents. […]

• Actual harm, isolatedF600Dec 15, 2023

  Based on interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1), reviewed for weight loss and dehydration (lack of necessary fluid intake) were free from neglect when services to provide needed nutrition and hydration were not consistently provided. There was a lack of assessment, follow-up when food and fluid intake was significantly low, and involvement of healthcare professionals to address the low intake. This failure caused harm to Resident 1 who had a significant and unplanned weight loss, dehydration, decline in nutritional status and related complications. Findings included . […]

• Actual harm, isolatedF692Dec 15, 2023

  Based on interview and record review, the facility failed to provide nutritional service including assessments and interventions to address significant weight loss and lack of intake for 2 of 3 residents (Residents 1 and 2), reviewed for nutrition/hydration. These failures placed Resident 2 at risk for unmet nutritional needs and caused harm to Resident 1 who had a significant and unplanned weight loss, dehydration (lack of necessary fluid intake), decline in nutritional status, and related complications. Findings included . UNPLANNED SIGNIFICANT WEIGHT LOSS RESIDENT 1 Resident 1 readmitted to the facility on [DATE]. Review of a medical nutrition assessment dated [DATE], showed at the time of the assessment the resident weighed 142 pounds (lbs., unit of mass/weight). […]

• Actual harm, isolatedF689Sep 14, 2021

  Based on observation, interview, and record review, the facility failed to ensure that 1 of 3 residents (Resident 1) reviewed was provided adequate supervision to prevent accidents. Failure to ensure Resident 1 was provided supervision and assistance with a hot beverage resulted in the resident sustaining [CONDITION(S)] on the bilateral thighs and lower legs, and experiencing pain associated with the injury which constitutes actual harm. Findings included . Review of a facility policy provided on 09/07/2021 and titled, Safety Guidelines, dated 2013, showed that the policy addressed the food service department. The policy indicated safe procedures were followed in daily work routines and equipment operations. […]

• No harm, potential for more than minimal, widespreadF801Jan 21, 2026

  Based on interview and record review, the facility failed to designate a person to serve as the director of food and nutrition services with the proper qualifications. This failure placed all residents at risk of receiving dietary services from staff without the required competencies and skills to carry out food and nutrition services.Findings included.Review of the key personnel list, provided by the facility on 01/13/2026, showed no staff names were listed under the dietary manager.In an interview on 01/13/2026 at 8:06 AM, Staff G, Cook, stated that they had no dietary manager and that they would report directly to Staff A, Administrator. When asked about the last time they had a dietary manager, Staff G stated, I don't [do not] know. […]