Saint Anthony

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Mar 29, 2022

  Based on record review and interview, the facility failed to notify Emergency Medical Services (EMS) when CPR (cardiopulmonary resuscitation) was initiated on a resident who was found unresponsive, without vital signs, and had an Advance Directive indicating the desire for CPR (full code status). The staff ceased CPR without an order from the Resident's Physician, resulting in the death of a resident for 1 of 8 residents reviewed for Advanced Directives. (Resident B) The Immediate Jeopardy began on [DATE] when an Agency LPN chose not to notify EMS and initiated CPR with a CNA, then ceased the CPR without a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Finding includes: Resident B's record was reviewed on [DATE] at 12:34 p.m. […]

• Actual harm, isolatedF686Mar 29, 2022

  Based on observation, record review, and interview, the facility failed to ensure pressure ulcers and skin conditions were assessed, assessed timely, and assessed correctly. They failed to ensure treatments for the pressure areas were obtained timely and treatments were completed as ordered by the Physician for 3 of 4 residents reviewed for pressure ulcers. (Residents C, E, and D) Residents C and E had a worsening in stage of their pressure ulcer areas related to delays in treatment and assessments. Findings include: 1) Resident C's record was reviewed on 3/23/22 at 4:05 p.m. […]

• Actual harm, isolatedF692Mar 29, 2022

  Based on observation, record review, and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status related to meal consumption records not completed, weights not obtained as ordered, supplements not provided as ordered, and interventions not put in to place timely with significant weight loss for 3 of 4 residents reviewed for nutrition and weight loss. (Residents B, E and D) The Registered Dietician/Dietary Manager did not assess residents timely to assist in preventing weight loss, which resulted in significant weight losses for residents B and E. Finding includes: 1) Resident B's record was reviewed on 3/23/22 at 12:34 p.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF557Jan 16, 2025

  Based on record review and interview, the facility failed to ensure residents on the Memory Care Unit were treated with respect and dignity, related to a staff member yelling and using foul language in the hallway where residents could hear the staff member. This had the potential to affect all the residents on the Memory Care Unit. (Terminated Employee 1 and Resident G). The deficient practice was corrected on 12/16/24, prior to the start of the survey, and was therefore past noncompliance. Finding includes: A facility initiated staff to resident incident reported to the Indiana Department of Health (IDOH), dated 12/6/24, was reviewed on 1/15/25 at 1:03 p.m. The incident indicated an altercation between Terminated Employee 1 and Resident G. […]

• No harm, potential for more than minimal, patternF677May 20, 2024

  Based on observation, record review, and interview, the facility failed to ensure dependent residents received the activities of daily living (ADL) care needed related to showers not given as scheduled, facial hair unshaven, and soiled sheets on a resident's bed for 5 of 8 residents reviewed for ADL care. (Residents 76, 121, 52, C, and 45) Findings include: 1. On 5/13/24 at 2:53 p.m., Resident 76 was observed lying in his bed. His hair appeared greasy and there was visible white debris observed. His beard had visible food debris. On 5/14/24 at 9:11 a.m., the resident was observed lying in bed. His hair was greasy with white debris observed. The resident's record was reviewed on 5/15/24 at 12:50 a.m. […]