Saint Paul Homes

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 13, 2023

  Based on observations, review of dishwashing machine manufacturer's instructions, and staff interviews, it was determined that the facility failed to maintain dishwashing machine water temperatures in accordance with manufacturer recommendations for food service safety on three of three kitchenettes observed ([NAME], Gardens, and Springs). Findings include: Review of manufacturer's instructions for the facility dishwashing machine revealed that the hot water sanitizing mode minimum wash temperature and recommended wash temperature was 150 degrees Farenheit (F). Review of the Dishwashing/Warewashing machine temperature log sheet revealed that the temperature requirements for the wash cycle was: Wash 150 degrees F. […]

• No harm, potential for more than minimal, isolatedF605Aug 8, 2025

  Based on review of clinical records and staff interview, it was determined that the facility failed to provide evidence that non-pharmacological interventions (interventions attempted to calm a resident other than medication) were attempted prior to the administration of a PRN (as needed) psychotropic (affecting the mind) medication for one of five residents reviewed for unnecessary medications (Resident R114). Findings include: Upon request, the facility was unable to provide a policy regarding non-pharmacological interventions prior to the administration of psychotropic medications. […]

• No harm, potential for more than minimal, isolatedF684Nov 10, 2022

  Based on review of facility policy and clinical records, observation, and staff interview, it was determined that the facility failed to ensure physician's orders were accurate and reflected the status and care provided to one of 24 residents reviewed (Resident R8). Findings include: Review of a facility policy entitled, Special Locking Arrangement (SLA) and Secure Care Systems, dated 1/27/22, indicated that With a signed consent and a physician's order, residents considered at risk for elopement, will be properly fitted with an ankle transmitter to be worn . […]

• No harm, potential for more than minimal, isolatedF758Dec 17, 2021

  Based on review of clinical records, facility policy, and staff interview, it was determined that the facility failed to provide a date of duration and clinical rationale for the continued use of a PRN (as needed) [CONDITION(S)] (affecting the mind) medication beyond 14-days for one of 27 residents reviewed (Resident R52) and failed to ensure that drug regimens were free of unnecessary [CONDITION(S)] medications for one of 27 residents reviewed (Resident R16). Findings include: Review of the facility policy entitled Chemical Restraints and/or Antipsychotic Medications (drugs used to treat severe mental states such as delusions and hallucinations), dated 1/27/21, indicated that residents who use antipsychotic medications will be evaluated to determine their effectiveness; the consultant… […]

• No harm, potential for more than minimal, isolatedF880Dec 17, 2021

  Based on observations, review of facility policy and clinical records and staff interview, it was determined that the facility failed to implement measures to prevent the potential for cross contamination (transfer of germs/organisms from one location to another) during a dressing change for one of three residents reviewed with wounds (Resident R88). Findings include: Review of the facility policy entitled Dressing Change Procedure, dated 1/27/21, indicated that after cleansing a wound with normal saline, staff are to remove gloves and perform hand hygiene, apply gloves and apply treatment as ordered. Review of Resident R88's clinical record revealed an admitted [DATE], and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]