LECOM at Asbury Ridge dba Saint Mary's Asbury Ridg

In the surveyor’s words

From the most serious findings on record at LECOM at Asbury Ridge dba Saint Mary's Asbury Ridg, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 18, 2022

  Based on review of facility policies, review of manufacturer recommendations, observations, and staff interviews, it was determined that the facility failed to store food in accordance with professional standards and to maintain dish machine water temperatures in accordance with manufacturer recommendations for food service safety in the main kitchen. Findings include: Review of the facility policy entitled, Dietary Infection Control, dated March 1999, with a policy review date of 1/17/22, indicated, it is the policy of the facility to maintain infection control measures to prevent cross contamination or infection. […]

• No harm, potential for more than minimal, patternF675Nov 30, 2023

  Based on review of PAHAN 694, and resident and staff interviews, it was determined that the facility failed to provide care in a manner that maintained the resident's psychosocial well-being for six of 24 residents reviewed (Residents R68, R26, R53, R56, R57, and R65). Findings include: Review of the 2023 PAHAN 694 5-11-UPD UPDATE encourages the use of masks until no new cases of SARS-CoV-2 infection have been identified for 14 days. From 11/27/23, through 11/28/23, during resident interviews, the following residents complained of an inability to communicate with masked staff members: During interview on 11/27/23, at 11:10 a.m. […]

• No harm, potential for more than minimal, patternF880Feb 19, 2021

  Based on observations, review of facility policies, clinical records, and Pennsylvania Department of Health Guidance and staff interviews, it was determined that the facility failed to appropriately perform hand hygiene during a wound dressing change for one of eighteen residents (Resident R29) and failed to prevent possible cross contamination related to a catheter (tube placed into the bladder to facilitate urination) for one of 18 residents (Resident R42) and failed to follow infection control protocol regarding the use of wearing N-95 (filtering facepiece respirator) masks while working in designated potential quarantined rooms for COVID-19 for one of eight residents (Resident R4). […]

• No harm, potential for more than minimal, isolatedF761Sep 12, 2025

  Based on observations and staff interviews, it was determined that the facility failed to label multi-dose containers of Tuberculin solution (used to test for the disease tuberculosis) with the date they were opened in one of two medication storage rooms. Findings include: Observation on 9/10/25, at 10:15 a.m. of a medication storage refrigerator revealed an opened and undated multi-dose vial of Tuberculin solution. During an interview on 9/10/25, at 10:20 a.m. Licensed Practical Nurse Employee E1 confirmed that the multi-dose vials of Tuberculin solution should have been labeled with the date it was opened. During an interview on 9/10/25, at 10:35 a.m. […]

• No harm, potential for more than minimal, isolatedF684Jan 6, 2025

  Based on review of the hospice/facility agreement and clinical records, and staff interview, it was determined that the facility failed to maintain current information related to Hospice services for one of three residents reviewed (Closed Record Resident CR1). Findings include: A Hospice Care Services Agreement dated 2/08/06, indicated that, Hospice shall communicate with facility to ensure coordination of patient care services; Hospice Health Aides shall provide a copy of the completed assignment form to the facility; facility and Hospice each shall prepare and maintain records concerning patients receiving services under this agreement; and such records shall be available for review and inspection by each party as necessary for the treatment of patients under this agreement. […]