Cerenity Care Center White Bear Lake

In the surveyor’s words

From the most serious findings on record at Cerenity Care Center White Bear Lake, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Feb 2, 2026

  Based on interview and record review, the facility failed to immediately initiate cardiopulmonary resuscitation (CPR) and activate the emergency response system (EMS) when 1 of 1 residents, with a full code status (when a resident's heart stops being (SP) the medical team uses all available lifesaving measures) was found unresponsive. This resulted in an Immediate Jeopardy (IJ) citation when licensed practical nurse, (LPN)-A, was notified by nursing assistant (NA)-A that R1 was unresponsive. LPN-A immediately checked on R1 finding R1 cool to the touch, without pulse and was not breathing. […]

• Immediate jeopardy, isolatedF600Mar 11, 2022

  Based on observation, interview, and document review, the facility failed to ensure residents were free from abuse for 1 of 3 residents (R1) reviewed for abuse. Nursing assistant (NA)-A mentally and verbally abused R1, was allowed to continue working, and returned to R1's room a second time, mentally and verbally abusing R1 again. This resulted in an immediate jeopardy (IJ). The IJ began on 2/28/22, when NA-A mentally and verbally abused R1. NA-A was allowed to continue working with residents, resulting in a second encounter between NA-A and R1, and NA-A again mentally and verbally abused R1. NA-A was allowed to continue working following both incidents. The administrator and the director of nursing (DON) were notified of the IJ on 3/10/22, at 5:26 p.m. […]

• Actual harm, isolatedF686Feb 16, 2024

  Based on observation, interview, and document review, the facility failed to perform comprehensive skin assessments and implement interventions to promote healing and reduce the risk for further pressure ulcer development for 1 of 1 resident (R100) reviewed for pressure ulcers. This resulted in harm for R100. Findings include: A stage one pressure injury is intact skin with a localized area of redness that is non-blanchable (does not turn white when pressed). A stage two pressure ulcer is partial thickness loss of the skin with exposed dermis, presenting as a shallow open ulcer. A stage three pressure ulcer is full thickness loss of the skin in which subcutaneous fat may be visible. […]

• Actual harm, isolatedF689Sep 23, 2021

  Based on observation, interview, and documentation, the facility failed to determine the need for, and provide needed required supervision and/or assistive devices to prevent further falls for two (R219 and R52) of ten residents reviewed for repeated falls in the facility. R219 was harmed when he fell and sustained a laceration to his head and unstable fractures of his cervical spine; R219 was receiving hospice services and passed away two days after this fall. The failure placed R52 at risk for repeated falls. Findings include: FALLS Review of the facility's Integrated Fall Management policy, reviewed 5/6/21, revealed, Residents are assessed for their risk of falls upon admission, significant change, and quarterly thereafter. […]

• No harm, potential for more than minimal, widespreadF812Dec 1, 2022

  Based on observation, interview and document review, the facility failed to ensure food was properly stored and labeled to prevent foodborne illness for 107 residents who consumed food from the kitchen. In addition, the facility failed to properly clean six of six ice maker machines which had the potential to affect 98 of 107 residents who consumed ice from the ice machines. Findings include: During an initial tour of the facility kitchen with the culinary director (CD) on [DATE], at 12:15 p.m. […]