Saint Anne Home

In the surveyor’s words

From the most serious findings on record at Saint Anne Home, in the surveyor’s own words.

• Immediate jeopardy, patternF689Nov 21, 2024

  Based on a review of facility policies, clinical records, and investigation reports, as well as observations and staff interviews, it was determined that the facility failed to ensure that the environment was free of accident hazards by failing to ensure that hot liquids were served at appropriate temperatures for two of five residents reviewed (Residents 2, 5) resulting in burns to the residents, and failed to ensure that temperatures of hot liquids were taken, per facility policy, prior to serving the hot liquids to the residents. The facility's failure also placed the current residents who will receive hot liquids in Immediate Jeopardy of the likelihood of serious bodily injury, harm, or death. […]

• Immediate jeopardy, patternF880Aug 11, 2022

  Based on review of established infection control guidelines, the facility's policies and documents, and residents' clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of communicable infections, by failing to follow infection control guidelines from the Centers for Disease Control (CDC) and the Pennsylvania Department of Health (PA DOH) to reduce the spread of infections and prevent cross-contamination during the COVID-19 pandemic for 8 of 56 residents reviewed (Residents 5, 18, 44, 68, 72, 94, 112, 137). […]

• Actual harm, isolatedF600Aug 28, 2024

  Based on review of facility policies, clinical records, and investigation documents, as well as staff and resident interviews, it was determined that the facility failed to ensure that residents were free from abuse and neglect for one of seven residents reviewed (Resident 1) who was transferred incorrectly, resulting in a fracture. Findings include: The facility's abuse policy, dated October 13, 2023, indicated that residents have the right to be free from any verbal, sexual, physical, and mental abuse; corporal punishment; involuntary seclusion; exploitation; and misappropriation of resident property. […]

• No harm, potential for more than minimal, widespreadF804Jul 30, 2026

  Based on review of facility policies, observations, and resident and staff interviews, it was determined that the facility failed to serve food that was palatable and at safe and appetizing temperatures.Findings include: The facility's policy regarding food temperatures, dated May 29, 2026, indicated that all hot foods were to be cooked to appropriate internal temperatures, held, and served at an appropriate temperature.Interview with Resident 2 on July 27, 2026, at 2:39 p.m. revealed that the food is garbage, the vegetables are mush and meat is tough. Observations in [NAME] Courtyard unit for the lunch meal service on July 29, 2026, at 11:47 a.m., revealed the lunch meal consisted of a turkey cutlet or beef tips, a baked sweet potato, and tomato bisque. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on review of policies, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food under sanitary conditions. Findings include:The facility's policy for food storage, dated May 29, 2026, revealed that all opened and partially used foods shall be dated, labeled and sealed before being returned to the storage area. The head cook or designee shall be responsible for checking the refrigerator daily for food items that are expiring and shall discard accordingly. The dining service department along with housekeeping is assigned responsibility for monitoring the designated refrigerator and discarding outdated foods daily. […]