Sacred Heart Nursing Home

In the surveyor’s words

From the most serious findings on record at Sacred Heart Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 13, 2025

  Based on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to:1. Maintain the main kitchen and kitchen extension on the second floor in a clean and sanitary condition; and2. Maintain four of four kitchenettes in a clean and sanitary condition.Findings include: Review of the facility's policy, dated 2025, indicated but was not limited to the following: Food Storage: all food items should be labeled with the date of preparing or opening and used within the recommended timeframe. Implement a routine cleaning schedule for all kitchen surfaces, equipment, and dining areas. […]

• No harm, potential for more than minimal, patternF812Jun 25, 2024

  Based on observation, record review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to maintain safe and clean equipment and ensured that food was stored properly, in three out of four kitchenettes. Findings include: Review of the facility's policy titled Kitchen/Pantry Cleaning Schedule, undated, indicated but was not limited to the following: -Check/Clean & sanitize microwave (inside & out) -Check all cabinets, shelving, drawers in good repair -If any equipment is in need of repair, please inform supervisor On 6/20/24 at 9:49 A.M., the surveyor observed the following in the Third Floor Unit… […]

• No harm, potential for more than minimal, patternF881Jun 25, 2024

  Based on record review and interview, the facility failed to implement an antibiotic stewardship program which included antibiotic use protocols and monitoring of antibiotic use in accordance with the facility's antibiotic stewardship program. Findings include: Review of the facility's policy titled Antibiotic Stewardship Program Policy, last revised 11/2023, indicated but was not limited to the following: - it is the policy of the health facility to implement an antibiotic stewardship program which will promote the appropriate use of antibiotics while optimizing treatment of infections - facility action: an antibiotic review process, also known as a time out for all antibiotics prescribed in the facility - antibiotic time out (ATO) prompts clinicians to reassess the ongoing need for and… […]

• No harm, potential for more than minimal, patternF921Jun 25, 2024

  Based on observation and interview, the facility failed to ensure a functional, safe, and clean environment on two (2PY and 3PY) of four units in the facility. Specifically, the facility failed to ensure sharps containers were replaced when two thirds to three-quarters full to decrease the risk of needlestick injuries and exposure to bloodborne pathogens. Findings include: Review of the facility's policy titled Sharps Container Weekly Check Policy/Procedure, revised July 2018, indicated but was not limited to the following: -It will be the responsibility of the maintenance and nursing department to inspect and dispose of any sharps containers that are two thirds to three-quarters full. -Sharps containers will be checked weekly and disposed of according to department policy. […]

• No harm, potential for more than minimal, patternF584Mar 31, 2023

  Based on observations and interviews, the facility failed to ensure residents on 2 of 4 units had a comfortable and homelike dining experience. Specifically, residents were provided meals on overbed tables while still on the food tray and inside heating elements, residents seated in the same area were provided meals at different times, staff stood while assisting residents with eating and residents not in a common area were placed in the doorway of their room to eat. Findings include: During dining observations throughout survey from 3/28/23 through 3/31/23, the surveyors observed the following on St. Michael's and St Joseph's units (identified by staff as secured units for residents with dementia). 1. St. […]