Catholic Care Center, Inc

In the surveyor’s words

From the most serious findings on record at Catholic Care Center, Inc, in the surveyor’s own words.

• Immediate jeopardy, patternF678Nov 18, 2025

  The facility identified a census of 155 residents and 61 residents with full code status (decision to receive resuscitative measures). The sample included three residents. Based on observation, interview and record review, the facility failed to provide cardiopulmonary resuscitation (CPR - an emergency lifesaving procedure performed when the heart stops beating) to Resident (R) 1, who had a documented desire for full resuscitative measures. On [DATE] at 04:30 AM, Certified Nurse Aide (CNA) O observed R1 in his bed not breathing and CNA O immediately reported this to Licensed Nurse (LN) G. LN G assessed R1, then went to the nurse station to verify R1's code status in the Electronic Medical Record (EMR) and advised CNA O that R1's hospice providers would take care of the rest. […]

• Immediate jeopardy, patternF726Nov 9, 2021

  The facility census totaled 113 residents, with 31 residents that required the full lift with a sling for transfers. Based on observation, interview, and record review the facility failed to ensure the CNAs (Certified Nurse Aides) employed by the facility received adequate training and demonstrated competency for safe full lift transfers and correct use of slings. During a full lift transfer, Resident (R)3 fell three feet to the floor from the full lift due to CNA D incorrectly securing the sling to the lift. R3 required first aid for a 5 centimeters (cm) by 3 cm skin tear to her left forearm and needed Emergency Medical Services (EMS) response for transfer to a local emergency room . […]

• Immediate jeopardy, isolatedF600Dec 28, 2022

  The facility census totaled 92 residents with one resident sampled for neglect. Based on interview and record review, the facility failed to provide a safe environment free of injury/falls when Certified Medication Aide (CMA) R failed to follow the plan of care developed for Resident (R) 1 and transferred the resident without the assistance of another staff member and the use of a mechanical lift, resulting in the resident being lowered to the floor. R1 sustained injuries from the unsafe transfer, which included a bruise to R1's right eye, blood from her left nostril, an abrasion to her right shin, and the resident passing away shortly after the incident. […]

• Immediate jeopardy, isolatedF689Nov 9, 2021

  The facility census totaled 113 residents, 8 residents who required full mechanical lift with sling for transfers with 3 residents sampled. Based on observation, interview, and record review the facility failed to provide appropriate assistance for a safe full lift transfer for Resident (R) 2. On 10/30/21, Certified Nurse Aide (CNA) E attempted to transfer R2 with use of a full mechanical lift, which required two staff to safely operate. R2 fell out of the lift and sustained a right tibia/fibula (bones of the lower leg) fracture (broken bone) and a [CONDITION(S)], which required emergency transport and five staples to her scalp. This failure placed R2 in immediate jeopardy. […]

• No harm, potential for more than minimal, patternF689Dec 4, 2024

  The facility reported a census of 147 residents. The sample included 29 with 11 residents reviewed for accidents. Based on record review, interviews, and observations, the facility failed to ensure a safe environment free from accident hazards for Residents (R)5 and R32. The facility additionally failed to implement care-planned fall interventions for R13 and R27. This deficient practice placed the residents at risk for preventable falls and injuries. Findings Included: - The Medical Diagnosis section within R5's Electronic Medical Records (EMR) included diagnoses of cognitive communication deficit, transient ischemic cerebral attack (TIA- temporary episode of inadequate blood supply to the brain), weakness, history of falls, chronic kidney disease, and abnormalities with mobility. […]