Saint Teresa Rehabilitation & Nursing Center

In the surveyor’s words

From the most serious findings on record at Saint Teresa Rehabilitation & Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 10, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to follow Centers for Disease Control and Prevention (CDC) guidelines for wearing Personal Protective Equipment, CDC guidelines for laundry services, and failed to have policies and procedures designed to minimize the risk of Legionella and other opportunistic pathogens in building water systems with a facility census of 36 residents. Findings include: Personal Protective Equipment (PPE) Observation on 2/8/23 at approximately 11:03 a.m. revealed Staff D (Regional Registered Nurse) transporting a cart with Binax Now COVID-19 tests on the cart to the [NAME] Unit. Staff D stopped outside of room [ROOM NUMBER]. Staff D was wearing a surgical mask, goggles, and gloves. […]

• No harm, potential for more than minimal, widespreadF919Feb 10, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that the call bell system was functioning as designed to allow residents to call for staff assistance for a census of 36 residents. Findings include: Interview on 2/8/23 at approximately 10:00 a.m. with Resident #19 revealed that Resident #19 waited an hour and a half for someone to answer his/her call bell on the morning of 2/7/23. Observation on 2/8/23 at approximately 10:30 a.m. of the nursing station revealed 6 pagers on the wall behind the nurse's station. All observed pagers were off. Interview on 2/9/23 at approximately 10:00 a.m. with residents during Resident Council meeting revealed that Resident #32 had waited up to two hours for someone to answer their call bell. […]

• No harm, potential for more than minimal, patternF880Apr 29, 2026

  Based on interview and record review, the facility failed to update the water management plan as necessary and to implement monitoring measures to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens in a facility with a census of 45 residents.Findings included:Review on 4/29/26 of the facility's policy, Legionella and Water Management Program, dated 10/29/24, revealed the following, I. Water Management Program (WMP) Development: The Infection Preventionist (IP) and Director of Environmental Services (DES) will collaborate with the rest of the interdisciplinary team (IDT), and facility leadership, to establish and maintain a facility specific WMP. 2. […]

• No harm, potential for more than minimal, patternF880Mar 28, 2024

  Based on observation, interview, record review, and policy review, it was determined that the facility failed to follow Centers for Disease Control and Prevention (CDC) guidance for Transmission Based Precautions (TBP) for 5 of 9 residents with suspected Norovirus (Resident Identifiers #21 and #30, #9, #17, and #13). Findings include: Resident #21 Interview on 3/26/24 at 9:00 a.m. with Staff G (Infection Prevention) revealed that Resident #21 was placed on precautions on 3/22/24 because he/she had the norovirus. Observation on 3/26/24 at 9:30 a.m. of Resident #21's room revealed a Personal Protective Equipment (PPE) cart outside of the door which included, gowns, gloves, masks, face shields, and signage for precautions. Observation on 3/26/24 at 9:30 a.m. […]

• No harm, potential for more than minimal, patternF564Mar 9, 2022

  Based on interview and record review, it was determined that the facility failed to ensure that residents could have unscheduled visitation and enable in-room visitation for 3 of 6 residents reviewed for visitations and 10 out of 10 residents interviewed at Resident Council. (Resident Identifiers #3, #4, #6, #7, #9, #12, #13, #18, #25, #27, #31) Findings include: Resident Council Interview on 3/8/22 at approximately 10:56 a.m. during resident council meeting with 10 residents (Resident #3, #4, #6,#7, #12, #13, #18, #25, #27, and #31) revealed that residents were unable to have in room visitation. Residents stated visitation occurred in library or lobby area. […]