Ignite Medical Resort St Marys LLC

In the surveyor’s words

From the most serious findings on record at Ignite Medical Resort St Marys LLC, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 27, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received care consistent with professional standards of practice to prevent the development of pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) which resulted in the development of a pressure ulcer; failed to implement ordered interventions to promote healing of developed ulcers for one sampled resident (Resident #74) which resulted in the worsening of the pressure ulcer; and failed to accurately assess resident's skin for the monitoring of pressure ulcer development and progression for three sampled residents, (Residents #74, #1 and #62) out of 18 sampled residents. […]

• No harm, potential for more than minimal, widespreadF880May 1, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain a comprehensive infection prevention and control program designed to help prevent the development and transmission of Legionella (A [NAME] of pathogenic Gram-negative bacteria that includes the species L. pneumophila, causing legionellosis, all illnesses caused by Legionella, including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever) and/or other water-borne pathogens (a bacterium, virus, or other microorganism that can cause disease) that included specific assessments, in accordance with State of Missouri rules and Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS) standards and guidelines; the facility… […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2024

  Based on observation and interview, the facility failed to maintain the floor under the deep fat fryer and the six burner stove free from a buildup of food debris; failed to maintain the floor under the shelves in the dry good storage room free from dried food debris; failed to maintain the utensil rack free from dust; failed to maintain the sprinkler heads over the back side of the kitchen free from a dust buildup; failed to maintain the temperature of milk in a serving container the dining room at or close to 41 F (degrees Fahrenheit) and failed to maintain the area around the door of the North entrance to the kitchen free from a buildup of dust. This practice potentially affected all residents who ate food from the kitchen. The facility census was 84 residents. 1. […]

• No harm, potential for more than minimal, patternF584Aug 27, 2024

  Based on observation and interview, the facility failed to maintain commode risers (assistive devices to improve the accessibility of toilets to older people or those with disabilities. They can aid in transfer from wheelchairs and may help prevent falls) in resident rooms A110, A105, A102, B104, C106, C104, C102, E107, E108, G104, D107 free from areas that were not easily cleanable; failed to maintain the fan in resident rooms B105, free from a buildup of dust; failed to maintain the ceiling vent in in resident room A101; failed to ensure the floor was maintained clean in resident rooms A105 and C109; failed to ensure the countertop in the A Hall shower room was in good repair; failed to ensure the grab bar was firmly attached to the wall in the restroom of B105; and failed to ensure the… […]

• No harm, potential for more than minimal, patternF712Aug 27, 2024

  Based on observation, interview and record review, the facility's physician failed to visit one sampled resident (Resident #8) at least once every 30 days for the first 90 days after admission and the facility failed to ensure the physician visited the resident every 60 days for five sampled residents (Resident's #25, #38, #41, #62, and #15) out of 18 sampled residents. The facility census was 84 residents. Review of the facility Physician's Visits Frequency, Timeliness and Alternates policy and procedure updated 5/2024, showed: -The Physician or Nurse Practitioner must make actual face to face contact with the resident and at the same physical location, not via a telehealth arrangement. […]