SMP Health - St Catherine South

In the surveyor’s words

From the most serious findings on record at SMP Health - St Catherine South, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Mar 17, 2022

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide care for 5 of 23 sampled residents (Resident #12, #35, #38, #57, and #60) and 3 supplemental residents (Resident #44, #55, and #72) in a manner and environment that maintained, enhanced, and respected each resident's dignity and individuality. Failure of staff to announce themselves/wait for permission prior to entering residents' rooms and failure to assist with set up of adaptive equipment as care planned does not preserve the residents' personal dignity or enhance their quality of life and places them at risk of embarrassment and/or emotional harm. Findings include: Review of the policy titled, Routine Cares occurred on 03/17/22. […]

• No harm, potential for more than minimal, patternF689Mar 17, 2022

  THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 03/13/20. Based on observation, record review, review of the manufacturer's instruction manual, and resident/staff interviews, the facility failed to provide adequate assistance for 4 of 7 sampled residents (Resident #3, #35, #61, and #377) observed during a sit-to-stand mechanical lift transfer. Failure to ensure proper use of the stand lift caused Resident #3 pain/discomfort and placed Resident #35, #61, and #377 at risk for pain and/or injury. Findings include: Review of the [brand name] Sit-to-Stand Lift manufacturer's instruction manual occurred on 03/17/22. The manual identified, . Caution . Before the product is used, adequately qualified nursing staff must assess the physical and mental condition of the patient/resident. […]

• No harm, potential for more than minimal, patternF880Mar 17, 2022

  THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 03/13/20. Based on observation, review of facility policy, review of professional reference, and staff interview, the facility failed to follow infection control practices for 5 of 23 sampled residents (Resident #3, #8, #10, #33, and #65) and 1 supplemental resident (#32) observed during cares. Failure to follow standard infection control practices has the potential for transmission of communicable diseases and infections to residents and staff. Findings include: PROTECTIVE PERSONAL EQUIPMENT Review of the policy titled Novel Coronavirus Prevention and Response occurred on 03/17/22. This policy, dated 04/12/21, stated, . […]

• No harm, potential for more than minimal, isolatedF760Aug 27, 2026

  Based on record review, review of facility policy, and staff interview, the facility failed to ensure residents remained free of significant medication error for 1 of 1 sampled resident (Resident #7) reviewed for medication errors. Failure to ensure medications are administered according to physician's orders places resident at risk for adverse drug effects.Findings include:Review of the facility policy titled Medication Administration occurred on 08/27/26. This policy, revised August 2026, stated, . Medications are administered by licensed nurses, or other staff. as ordered by the physician and in accordance with profession standards of practice. 8. Obtain and record vital signs, . per provider orders. […]

• No harm, potential for more than minimal, isolatedF880Jun 12, 2025

  Based on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 3 of 20 sampled residents (#10, #35, and #191) observed during personal cares. Failure to practice infection control standards related to hand hygiene/glove use and enhanced barrier precautions has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Hand Hygiene occurred on 06/12/25. This policy, revised May 2024, stated, . Hand hygiene is indicated and will be performed under the conditions listed . Before applying and after removing personal protective equipment (PPE), including gloves . […]