Saint Elizabeth Home East Greenwich

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jan 13, 2025

  Based on record review, staff and resident interview it has been determined that the facility failed to ensure that a newly admitted resident received adequate supervision to prevent an elopement for 1 of 1 resident reviewed who successfully eloped from the facility, Resident ID #1. Findings are as follows: Record review of a facility reported incident submitted to the Rhode Island Department of Health (RIDOH) on 1/2/2025 states in part, Patient left facility without alerting staff. Patient was unable to re-enter the building and decided to walk. […]

• Immediate jeopardy, isolatedF805Nov 25, 2024

  Based on record review, surveyor observation, and staff interview, it has been determined that the facility failed to ensure that residents receive and consume food in the appropriate form for 1 of 3 residents reviewed for a modified diet of pureed texture, Resident ID #1. Findings are as follows: Review of a facility reported incident received by the Rhode Island Department of Health on [DATE] revealed that Resident ID #1 experienced a choking incident at 6:00 PM, the Heimlich maneuver (first aid method use when a person is choking) was initiated and the Emergency Medical Services (EMS) was promptly contacted. Upon the arrival of the EMS team the resident was noted to be without a pulse or respirations (number of breaths per minute). […]

• Immediate jeopardy, isolatedF760Mar 2, 2022

  Based on record review, staff and resident representative interview, it has been determined that the facility has failed to ensure that residents are free of significant medication errors for 1 of 7 resident's reviewed, Resident ID #1. Findings are as follows: Review of the 2021 policy, titled, Omnicare Guidance for Using Insulin Products, states in part, .Administration Techniques .Before each injection, the resident's name, medication order .should be verified to avoid injecting the wrong type or amount of insulin . […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2025

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed, in accordance with professional standards for food service safety relative to the main kitchen, 3 of 3 kitchenettes and 4 of 4 [NAME] House kitchens observed. Findings are as follows: 1. Record review of the Rhode Island Food Code 2018 edition, Section 3-602.11 Food Labels states, .Label information shall include: (1) The common name of the food . […]

• No harm, potential for more than minimal, widespreadF835Jan 13, 2025

  Based on record review and staff interview, it has been determined that the facility was not being administered in a manner that enabled it to utilize resources effectively and efficiently to maintain the highest practicable physical, mental, and psychosocial well-being of each resident related the elopement of Resident ID #1. This failure resulted in an Immediate Jeopardy for F 689. Findings are as follows: Record review of a facility policy titled Missing Resident Policy states in part, Purpose: To provide direction to staff when a resident is determined to be missing or has eloped. Notify the Person in charge and/or charge nurse. Determine the time that the resident was discovered missing and when and where he/she was last seen .Check with other staff. […]