Mt Alverna Home Inc

In the surveyor’s words

From the most serious findings on record at Mt Alverna Home Inc, in the surveyor’s own words.

• Actual harm, isolatedF686Nov 16, 2021

  Based on record review and interview the facility failed to assess and treat a pressure ulcer in a timely manner resulting actual harm for one resident (Resident #1) as evidenced by a Stage IV pressure ulcer (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer. Slough and/or eschar may be visible on some parts of the wound bed. Epibole [rolled edges], undermining and/or tunneling often occur. Depth varies by anatomical location.) with infection requiring antibiotics. This affected one (Resident #1) of three residents reviewed for pressure ulcers. The census was 129. Findings Include: Review of the medical record for Resident #1 revealed an initial admitted [DATE] and readmitted [DATE]. […]

• Actual harm, isolatedF600Sep 7, 2021

  Based on observation, record review, review of a facility Self-Reported Incident (SRI), review of a facility investigation, review of an employee personnel record, facility policy and procedure review and interview the facility failed to ensure Resident #59 was free from physical abuse by a facility staff member. Actual Harm occurred on 08/12/21 when Resident #59, who was cognitively impaired and required extensive assistance/total dependence from two staff for bed mobility, toileting, transfers, dressing and bathing, sustained two fractures of the right extremity during personal care provided by State tested Nursing Assistant (STNA) #300. […]

• No harm, potential for more than minimal, widespreadF800May 7, 2026

  Based on resident interviews, staff interviews, facility documents and policy review, the facility failed to ensure residents were served a variety of meal choices. This had the potential to affect all residents residing in the facility except three Residents (#29, #54 and #125) who were identified by the facility as not receiving food by mouth (NPO) or from the kitchen. The facility census was 136.Findings include: Interview on 05/06/26 at 9:15 A.M. with Resident #24 revealed the food choices were always the same and rotated throughout each week. Resident #24 revealed she was served a lot of pasta and potatoes and little variations of alternatives. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observations, resident interviews, staff interviews, and facility policy review, the facility failed to ensure meals were served in a timely manner to ensure proper temperature and failed to ensure hairnets were worn to ensure proper sanitation. This had the potential to affect all residents residing in the facility except three Residents (#29, #54 and #125) who were identified by the facility as not receiving food by mouth (NPO) or from the kitchen. The facility census was 136.Findings include: Interview on 05/05/26 at 1:48 P.M. with Certified Nurse Assistant (CNA) #927 revealed residents in the facility complained about cold and nasty food all the time. CNA #927 revealed staff had to call the kitchen all the time with resident complaints.Interview on 05/06/26 at 9:15 A.M. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2024

  Based on observation, record review and staff interview the facility failed to ensure food was served and stored in a clean and sanitary manner. This had the potential to affect all 142 residents in the facility that consumed food from the kitchen. Findings Include: Observation of the kitchen area with Assistant Dietary Manager (ADM) #522 on 12/09/24 between 8:45 A.M. and 9:15 A.M. revealed the following that was observed and verified the time of discovery: 1. In the dry storage area an open packed of white rice with no date, an open bag of dinner rolls with no date, an open box of stuffing with no date, two containers of granulated sugar that were open with no date, an open box of bread crumbs with no date, and an open box of yellow cake with no date. 2. […]