Evercare at Stearns

In the surveyor’s words

From the most serious findings on record at Evercare at Stearns, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Dec 26, 2024

  Based on interview and record review the facility failed to assess, monitor, and provide timely treatment for 1 of 3 (R3) residents reviewed for change in condition. This failure resulted in R3 experiencing a decline in Activities of Daily Living (ADLs) from ,d+[DATE] through ,d+[DATE] and subsequently becoming unresponsive on [DATE] at 9:00 AM with no medical treatment until 4:00 PM. At the time of ambulance transfer, R3 had Cardiac Pulmonary Resuscitation performed, and intubation. R3 was hospitalized with diagnosis of cardiac arrest, cause unspecified and Severe Septic Shock. This failure resulted in an Immediate Jeopardy, which was identified to have begun on [DATE] when the facility failed to: 1. assess, monitor, and provide timely treatment for a change in R3's condition. 2. […]

• Actual harm, isolatedF600Aug 21, 2026

  Based on interview and record review, the facility failed to protect a resident from physical abuse by a Certified Nursing Assistant (CNA) for one (R3) of three residents reviewed for abuse in the sample list of three. This failure resulted in psycho/social harm to R3 causing feelings of increased anxiety and R3 being admitted to a local hospital for bruising to the left eye socket and left forehead and cheek bone. This past non-compliance occurred from 08/18/2026 to 08/18/2026.Findings Include:On 8/20/26 at 09:45am V4, Hospital Registered Nurse (RN) stated R3 arrived in the emergency room of the local hospital on 8/18/26. […]

• Actual harm, isolatedF684Jun 30, 2026

  Based on interview and record review the facility failed to monitor vital signs, notify the physician, and send a resident out for evaluation and treatment in a timely manner for a change in condition for 1 of 3 residents (R111) reviewed for quality of care in a sample of 59. This failure resulted in R111's family member calling 911, having him sent out to the local hospital, and R111 being admitted to the Intensive Care Unit (ICU) at the local hospital with a diagnosis of Septic Shock, pneumonia, severe dehydration, and a urinary tract infection (UTI).Findings Include:R111's admission Record, dated 06/25/26, documents R111 was admitted to the facility on [DATE] and has diagnoses of but not limited to Chronic obstructive pulmonary disease (COPD) with (acute) exacerbation, hemiplegia and… […]

• Actual harm, isolatedF692Jun 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure appropriate interventions were in place and followed to prevent weight loss for 1 of 4 residents (R63) reviewed for nutrition in a sample of 59. This failure resulted in a significant weight loss of -13.38% in one month and -17.2% in a six-month period.Findings Include:On 06/22/26 at 12:00 PM, R63 is sitting at the dining table dressed in appropriate clothes. His shirt is hanging on him, he doesn't have any teeth, and his face is thin with facial hair noted. He picked up his piece of chicken and tried to eat it before the staff could cut it up for him. He was served his food on a divided plate, plastic silverware, and his drinks are in Styrofoam cups with no lids. […]

• Actual harm, isolatedF600Jan 16, 2026

  Based on interview and record review, the facility failed to ensure residents were free from resident-to-resident abuse for 3 of 3 residents (R2, R7, and R9) in a sample of 24. This failure resulted in R3 physically assaulting R7 and R7 being sent out to the hospital and receiving staples for a head laceration, R9 being slapped on the right side of his face and a red area appearing, and R2 being struck in the face with a cane and sustaining a laceration to her right jawline. Findings Include: R3's Local Hospital Referral, admission date of 09/30/25, documented the following: History of Present Illness (HPI)/Subjective.Patient (Pt) is a [AGE] year-old African American male with past medical history of dementia and Traumatic brain injury. Patient currently lives with wife at home. […]