Saint Anthony Rehab and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF919Aug 19, 2024

  Based on observation, interview and record review, the facility failed to ensure all areas of the wireless call system were functioning properly for 5 of 5 halls reviewed for the call system. (Hall A, B, C, D and E) Finding includes: During a resident council meeting, on 8/15/24 at 2:03 p.m., Resident 56 indicated the call light notifications would go to the staff phones. The residents could not tell if the call request had been received since there was no light which turned on. Sometimes during the night, it would take a long time for her roommate's call light to get answered. Resident 56 would then call the nurses desk and the staff would respond to the request for help. […]

• No harm, potential for more than minimal, isolatedF602Jan 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure narcotic medications were free from theft of an employee for 1 of 3 residents reviewed for misappropriation of property. (Resident F) The deficient practice was corrected on 10/7/25, prior to the start of the survey, and was therefore past noncompliance.Findings include:During an interview, on 1/28/26 at 12:02 p.m., the Director of Nursing (DON) indicated LPN 6 reported, on 9/28/25, Resident F had a narcotic medication card and a narcotic count sheet missing. LPN 6 indicated when she last left the facility, there were 3 sheets and 3 medication cards for Resident F. On 9/28/25, there were only 2 sheets and 2 cards. […]

• No harm, potential for more than minimal, isolatedF695Sep 16, 2025

  Based on observation, interview and record review, the facility failed to ensure a physician's order for oxygen with an indication for use and the equipment setting for the flow rate was obtained for 1 of 1 resident reviewed for respiratory care. (Resident 47)Findings include:During an observation, on 9/15/25 at 11:00 a.m., Resident 47 was receiving oxygen via nasal cannula set at a flow rate of 2 liters per minute. During an observation, on 9/15/25 at 12:35 p.m., Resident 47 was receiving oxygen via nasal cannula set at a flow rate of 2 liters per minute. During an observation, on 9/16/25 at 9:47 a.m., Resident 47 was receiving oxygen via nasal cannula set at a flow rate of 2 liters per minute.The clinical record for Resident 47 was reviewed on 9/11/25 at 3:08 p.m. […]

• No harm, potential for more than minimal, isolatedF550Sep 25, 2024

  Based on observation, interview and record review, the facility failed to ensure a staff member did not photograph or video tape a resident and post the video online on social media for 1 of 1 resident reviewed for respect and dignity. (Resident F) The deficient practice was corrected on 9/6/24, prior to the start of the survey, and therefore was past noncompliance. Finding includes: A document, titled Indiana State Department of Health Survey Report System, indicated Resident F was videotaped and photographed in the facility while she was sleeping by Staff Member 10. The video was posted online. On 9/24/24 at 2:29 p.m., an online video was reviewed with the Executive Director (ED). The video showed Resident F in her wheelchair at the facility asleep. […]

• No harm, potential for more than minimal, isolatedF689Sep 25, 2024

  Based on observation, interview and record review, the facility failed to ensure a resident received adequate supervision when the resident exited the facility, without staff knowledge, and was found down the street 3 blocks away for 1 of 3 residents reviewed for accidents. (Resident B) The deficient practice was corrected on 9/20/24, prior to the start of the survey, and therefore was past noncompliance. Finding includes: An Indiana Department of Health Intake Information Form, dated 9/2/24, indicated a resident had eloped out of the facility, on 9/2/24 at 8:07 a.m., and was returned to the facility by the staff at 8:40 a.m. The clinical record for Resident B was reviewed on 9/24/24 at 1:04 p.m. […]