St Andre Health Care Facility

In the surveyor’s words

From the most serious findings on record at St Andre Health Care Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Jun 13, 2025

  2. On 06/09/25 at 12:20 p.m., observed an oxygen concentrator at the bed side of Resident #10. The tubing was still attached to the machine. Resident #10 stated that [he/she] no longer uses O2 but machine is at [his/her] bedside. Resident #10 stated that they have not used O2 for a month. On 6/10/25 at 1:10 p.m. the surveyor confirmed in an interview with the Unit Manager that Resident #10 no longer uses the O2, and she will remove the concentrator. Based on observations, record reviews, interviews, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 2 of 3 residents reviewed for respiratory care. ( #10, #13 and #23) Findings: 1. On 6/9/25 at 9:24 a.m. […]

• No harm, potential for more than minimal, patternF812Jun 13, 2025

  Based on observations and interviews, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the ceiling tile and support structure, and the large floor mixer, 3 of 3 days of survey. Additionally, the reach-in refrigerator was found to have a bag of cookie dough that was undated and unlabeled. Findings: On 6/9/25 at 9:15a.m. the initial tour of the kitchen was conducted with the Food Service Director (FSD) the following was observed: -an open bag of cookie dough not labeled and not dated in the reach in refrigerator; -several stained ceiling tiles throughout the kitchen; -rust covered support struts of the ceiling; - a long cob web hanging from the ceiling containing an insect; -discolorations of ceiling tile near dish machine, upon closer… […]

• No harm, potential for more than minimal, isolatedF584Jun 13, 2025

  Based on observations and interviews, the facility failed to maintain a safe, clean, comfortable and homelike environment on 3 of 3 units. Findings: On 6/11/25 at 1:30p.m. during a tour of the facility with the Administrator, the following were observed and confirmed: Third Floor: -Doorway next to stairwell near room [ROOM NUMBER] needs corner protector replaced. -room [ROOM NUMBER]: Stained ceiling tile near window. -Room: 304Wall gouged near bathroom door. -Room: 308- Stained ceiling tile. -Room:310- Stained ceiling tile in corner. -Room: 313- Bathroom has two holes in the wall that need repair. -Room: 318- Stained ceiling tile. -Bathing Suite: Baseboard broken in two places and tile missing. Second Floor: -Common area: 2 holes in the wall behind coffee bar that need repair. […]

• No harm, potential for more than minimal, isolatedF814Jun 13, 2025

  Based on observations and interviews, the facility failed to ensure that garbage and refuse were disposed of in a manner to prevent pest infestation for 1 of 3 survey days. (6/11/25). Findings: On 6/11/25 at 9:50 a.m. - Observed through the window that 1 of 2 dumpsters were uncovered, for 1 of 3 days of the survey. This was confirmed with the Food Service Director at the time of the observation.

• No harm, potential for more than minimal, isolatedF554Jul 13, 2022

  Based on medical record review, review of facility policy, observation, and interviews, the facility failed to ensure a resident was clinically appropriate to self administer an inhaler on 3 of 3 survey days. (R65). Findings: Review of facility policy Self-Administration of Medications reviewed 8/21 states, .Specific orders for self-administration of medication by the resident must be written by the physician .An Assessment for Self-administration of Medications will be completed and signed by a licensed nurse and resident prior to initiation of self-administration . […]