NHC Healthcare, St Charles

In the surveyor’s words

From the most serious findings on record at NHC Healthcare, St Charles, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jul 11, 2022

  Based on observation, interview, and record review, the facility failed to use appropriate infection control procedures to prevent or reduce the risk of spreading the virus SARS-CoV-2, (a coronavirus discovered in 2019), which causes COVID-19 infection, when staff failed to separate two residents (Residents #1 and #2), who tested negative for COVID-19, from their roommates (Residents #3 and #4), who tested positive for COVID-19 infection. Facility staff also failed to ensure two residents (Residents #1 and #6), did not share a bathroom with resident (Resident #3) who had tested positive for COVID-19, and failed to document assessments for signs and symptoms of COVID-19 infection. The facility identified nine residents who tested positive for COVID-19. The facility census was 73. […]

• Immediate jeopardy, isolatedF689Dec 9, 2021

  Based on observation, interview and record review, the facility failed to ensure staff used the appropriate transfer technique for one resident (Resident #8) who was assessed as requiring a hoyer lift (mechanical transfer device used for residents who cannot bear weight) for transfers and as directed by his/her plan of care of 11 residents sampled. Certified Nurse Aide (CNA) A transferred Resident #8 manually by himself/herself using the pivot method (the person bears at least some weight on one or both legs and spins to move their body from one surface to another) without using a gait belt (belt placed around the resident's waist and provides a handle to hold onto for those who require assistance during transfers, ambulation, or repositioning). […]

• Immediate jeopardy, isolatedF600Oct 14, 2021

  Based on interview and record review, the facility failed to ensure three residents (Resident #1, #2, and #6) were free from abuse by Certified Nurse Aide (CNA) A. The facility failed to implement safeguards to prevent further abuse after residents reported sexual abuse. The facility census was 77. The Administrator was notified on 10/5/21 at 11:40 A.M. of the Immediate Jeopardy (IJ), which began on 9/6/20. The IJ was removed on 10/6/21, as confirmed by surveyor onsite verification. […]

• Immediate jeopardy, isolatedF610Oct 14, 2021

  Based on interview and record review the facility failed to follow the facility policy and thoroughly investigate when three residents (Resident #1, #2 and #6) made allegations of sexual abuse against Certified Nurse Aide (CNA) A. The facility failed to implement safeguards to prevent further abuse after residents reported sexual abuse. The facility also failed to thoroughly investigate allegations of misappropriation of property for two residents (Resident #13 and Resident #14). The facility census was 77. The Administrator was notified on 10/5/21 at 11:40 A.M of the Immediate Jeopardy (IJ), which began on 9/6/20. The IJ was removed on 10/6/21, as confirmed by surveyor onsite verification. […]

• Actual harm, isolatedF689Sep 22, 2022

  Based on interview and record review, the facility failed to properly transfer one resident (Resident #1), in a review of four sampled residents, in a hoyer lift (mechanical lift) per manufacturer's guidelines. Staff placed two loops from each strap of the hoyer lift sling onto the swivel lift bar hooks which was not in accordance with manufacturer's guidelines. The sling loops came off the bar during the transfer and the resident fell to the floor, resulting in T6 and L2 vertebrae fractures requiring surgical intervention. […]