SSM Health Depaul Hospital - Anna House

In the surveyor’s words

From the most serious findings on record at SSM Health Depaul Hospital - Anna House, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 17, 2025

  Based on interview and record review, the facility failed to ensure staff provided adequate supervision and assistance to prevent accidents for one of three sampled residents (Resident #1) when Certified Nursing Assistant (CNA) C used a Sara lift (also known as a sit to stand, designed to assist individuals with limited mobility in transitioning from a sitting to a standing position) instead of a Hoyer lift (full body lift, used for residents who are unable to move themselves), alone to transfer the resident. CNA C yelled for help. Registered Nurse (RN) A and CNA B responded to the resident's room. The resident was hanging from the Sara lift with his/her legs twisted underneath his/her body, on the platform. A mobile x-ray was ordered. […]

• No harm, potential for more than minimal, widespreadF812Sep 26, 2024

  46888 Based on observation, interview and record review, the facility failed to ensure the main kitchen floors, appliances and food storage areas were clean and free from debris, and that the ceiling was free from dust accumulation. The facility also failed to ensure the [NAME] 2nd floor (A2) dishwashers were in working order, affecting two residents (Resident #24 and Resident #3). The sample was 16. The census was 62. Review of the facility's cleaning rotation policy, undated, showed: -Guideline: Equipment and utensils will be cleaned and sanitized according to the following guidelines, or manufacturer's instructions; - Items cleaned daily: Stove top, grill, kitchen and dining room floors, and exterior of large appliances; - Items cleaned weekly: Storerooms, shelves, and ovens; -Items… […]

• No harm, potential for more than minimal, patternF684Sep 26, 2024

  42795 46888 Based on observation, interview and record review, the facility failed to ensure weekly skin assessments were completed by a nurse for three residents at risk for skin breakdown or with impaired skin integrity (Residents #7, #27, and #32), failed to complete an admission skin assessment and admission note, obtain a admission weight, and obtain skin tear treatment orders (Resident #155), failed to implement the physician order for thromboembolic deterrent (TEDs. a type of compression stocking applied to legs to prevent blood clots) hose when the resident has a history of edema and blood clots, failed to perform skin assessments, failed to obtain monthly weights and address the resident's weight gain (Resident #6), and failed to ensure wound care was being completed (Resident… […]

• No harm, potential for more than minimal, patternF759Sep 26, 2024

  Based on observation, interview and record review, the facility failed to ensure a medication error rate less than 5%. Out of 28 opportunities observed, ten errors occurred, resulting in a 35.71% error rate. (Resident #161, Resident #163 and Resident #162). The census was 62. Review of the facility's Medication Administration policy, dated July, 2021, showed: -Medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so; -Medication are administered in accordance with written orders of the prescriber; -The resident is always observed after administration to ensure that the dose was completely ingested. […]

• No harm, potential for more than minimal, patternF804Sep 26, 2024

  46888 Based on observation, interview and record review, the facility failed to ensure residents were provided food that was at a safe and appetizing temperature for three residents (Residents #3, #11 and #13). The sample was 16. The census was 62. Review of the facility's checking food temperatures from the main kitchen policy, dated 3/24/24, showed: -Policy statement: the neighborhood team members will check the temperature of hot and cold foods prepared in and delivered from the main kitchen; -Policy interpretation and implementation: upon arrival of the food from the main kitchen, the neighborhood team member will test the temperature of all foods. Hot foods must maintain a temperature of 140 degrees F (Fahrenheit) or greater. […]