Saint Helens Post Acute

In the surveyor’s words

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

• Immediate jeopardy, patternF689Sep 12, 2023

  1. Based on observation, interview and record review it was determined the facility failed to ensure a safe environment related to smoking for 4 of 4 sampled residents (#s 6, 16, 17 and 36) reviewed for smoking. This deficient practice was determined to be an immediate jeopardy (IJ) situation and placed all residents at risk for serious harm, serious injury or death and constituted substandard quality of care. Findings include: The facility's undated Non-Smoking Policy & Procedure, provided to the survey team on 9/5/23, specified the following: POLICY: - [The] Center does not permit smoking within the Center or on its campus. Smoke, smoking and smoking materials refer to the use of cigarettes, cigars, pipes, tobacco, inhaled tobacco substitutes, matches and lighters. […]

• Actual harm, isolatedF600Oct 17, 2025

  Based on observation, interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by Resident 3 for 1 of 5 (#2) sampled residents for abuse. This failure to prevent abuse resulted with Resident 2 experiencing severe pain. Findings include:The facility's abuse policy titled Prevention and Reporting; Resident Mistreatment, Neglect, Abuse, Including Injuries of Unknown Source, and Misappropriation of Resident Property, last update 8/2022, revealed residents has the right to be free from abuse. The policy defined physical abuse as a willful inflection of injury which resulted in physical harm, pain or mental anguish. […]

• Actual harm, isolatedF600Mar 3, 2023

  Based on interview and record review it was determined the facility failed to protect a resident's right to be free from physical abuse by a staff member for 1 of 1 sampled resident (#2) reviewed for abuse. This placed residents at risk for physical abuse. Findings include: Resident 2 was admitted to the facility in 11/2022 with diagnoses including kidney injury and congestive heart failure. Resident 2's BIMS from 11/5/22 was 11 which indicates moderate cognitive impairment. An 11/28/22 at 12:21 PM progress note from Staff 11 (Social Services Director) revealed Resident 2 reported she/he had bruises on her/his shoulder, arm and hand after Staff 9 (Former CNA) provided care. […]

• Actual harm, isolatedF689Jul 12, 2021

  Based on interview and record review it was determined the facility failed to ensure staff followed the care plan related to safe transfers and failed to identify risks to prevent a burn injury for 2 of 5 sampled residents (#s 3 and 5) reviewed for accidents. Resident 3 sustained a facial bruise to her/his left jaw, dislocated left greater toe and sustained cuts to the bottom of her/his left foot. Resident 5 sustained a second degree burn on her/his right arm. Findings include: 1. Resident 3 was admitted to the facility in 3/2019 with diagnoses including stroke and depression. […]

• No harm, potential for more than minimal, widespreadF640Apr 27, 2026

  Based on interview and record review it was determined the facility failed to transmit resident assessments in the required timeframe for 20 of 20 residents (#s 20, 26, 36, 49, 53, 55, 56, 62, 64, 66, 73, 76, 78, 83, 106, 107, 108, 109, 110 and 111) reviewed for resident assessments. This placed residents at risk for inaccurate records. Findings include:The 4/14/26 Missing OBRA (Omnibus Budget Reconciliation Act of 1987 requiring assessment completion) Assessment Report revealed assessments were not transmitted to CMS in the required timeframe for Resident #s 20, 26, 36, 49, 53, 55, 56, 62, 64, 66, 73, 76, 78, 83, 106, 107, 108, 109, 110 and 111. […]