Saint Simeons Episcopal Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF610Jan 24, 2025

  Based on record review, and interview, the facility failed to ensure residents were free from abuse for two (#3 and #4) of three residents sampled for abuse. On 10/05/24 Res #3 was left soiled in bed and stuck between the bed and the wall. On 10/14/24 LPN #4 did not provide hydration, medication, or dressing changes for Res #4. The facility was in past noncompliance after having put the final measures in place to correct the deficiency on 12/13/24. The administrator identified 75 residents who resided in the facility. Findings: 1. Res #3 had diagnoses which included Parkinson's and immobility. A state reportable incident form, dated 10/05/24, documented on 10/05/24 CNA #4 left Resident #3 soiled and wedged in the bed while covering for another aide who was on break. […]

• No harm, potential for more than minimal, patternF880Aug 18, 2022

  Based on interview and record review, the facility failed to track infection and analyze the data for trends in infection for three, (June, July, and August of 2022), of three months of tracking and trending data. The administrator identified 83 residents resided in the facility. Findings: On 08/17/22, the infection control tracking and trending reports were requested from the Infection Control Preventionist (ICP). The ICP was unable to provide these reports. On 08/18/22 the reports were again requested. The ICP stated she was working on them. On 08/18/22 at 1:05 p.m., the ICP stated, I was doing the tracking and trending, but then we got a lot of Covid19 and the tracking and trending just kind of fell off. Since mid June there has not been tracking and trending on the form. […]

• No harm, potential for more than minimal, patternF812Mar 29, 2022

  Based on observation and interview the facility failed to provide a sanitary kitchen environment in one (#5) of five kitchens observed for sanitation. The facility's Resident Roster identified 42 residents ate from the kitchen identified. On 03/18/22 at 12:29 p.m., the Executive Chef provided a tour of kitchen #5 (Cafe Chapman). Observations of gnats in the floor drain in the back of the kitchen, food particles on the floor throughout the kitchen, black and brown splatters on the walls, black areas of gout throughout the kitchen floor, and food particles in cupboards. At 1:00 p.m., the Executive Chef stated he would be responsible for ensuring the kitchens were cleaned and stocked with needed items when he completed his training. […]

• No harm, potential for more than minimal, isolatedF557Mar 4, 2025

  Based on record review and interview, the facility failed to ensure residents were treated with dignity and respect for 1 (#4) of 4 residents who were reviewed for dignity. The administrator identified 78 residents who resided at the facility. Findings: Resident #4 had diagnoses which included mood disorder, PTSD, and anxiety. The five day assessment, dated 01/20/25, showed Resident #4 had a BIMS score of 13 and was cognitively intact for decision making. Review of the care plan, dated 01/31/25, for Resident #4, showed a focus of being dependent on staff for ADLs in toileting hygiene and transfers. Review of the ODH Form 283, dated 02/26/25, showed Resident #4 had alleged allegations of abuse/mistreatment by CNA #1. […]

• No harm, potential for more than minimal, isolatedF600Mar 4, 2025

  Based on record review and interview, the facility failed to ensure residents were free from neglect for 1 (#4) of 4 residents who were sampled and reviewed for neglect. The administrator identified 78 residents who resided at the facility. Findings: Resident #4 had diagnoses which included mood disorder, PTSD, and anxiety. The five day assessment, dated 01/20/25, showed Resident #4 had a BIMS score of 13 and was cognitively intact for decision making The Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, revised April 2021, read in part, Develop and implement policies and protocols to prevent and identify: a. abuse or mistreatment of residents; b. […]