St Ann Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at St Ann Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 6, 2025

  Based on observation and interview, the facility failed to store and serve food in accordance with professional standards for food service safety for 46 of 48 residents that receive food from the kitchen. * In the facility's main kitchen, observations of partially used and undated food were made in the walk-in and wall freezers/coolers. Several food items were observed in one of the facility's main kitchen wall coolers uncovered open to air and undated. * [NAME] restraints were not being utilized by a kitchen staff working in the main kitchen area. * Temperatures were not completed on all required food items prior to serving the food to residents. […]

• No harm, potential for more than minimal, patternF689Mar 5, 2026

  Based on observations, interviews, record review, and policy review, the facility failed to ensure that quarterly safety evaluations accurately identified and documented the use of elopement-prevention devices, that care plans were developed for residents utilizing wander guards, and that Minimum Data Set (MDS) assessments reflected the presence of these safety devices for three of three residents (Resident (R)3, R8, and R45) reviewed for elopement. As a result of this deficient practice, staff did not recognize wander guards as a safety device to ensure all needed interventions were implemented.re respiratory equipment was stored in a sanitary manner for one of one resident (Resident (R) 15) reviewed for respiratory care out of a total sample of 17. […]

• No harm, potential for more than minimal, patternF803Oct 17, 2024

  Based on observation, resident interview, staff interview, and record review, the facility failed to ensure menus were followed and served as posted and on the dietary tray cards. The failure placed any of the 45 facility residents receiving meals from the kitchen at risk of dissatisfaction with their meals. Findings include: During an interview on 10/17/24 at 12:40 PM, Resident (R) 6 complained that at least once a day the meal varies from what they are supposed to have. R6 pointed to a covered dish on her tray stating, That's not a chocolate peanut butter bar. The cover was lifted to reveal a confetti cake with a whipped type topping dollop. […]

• No harm, potential for more than minimal, patternF761Nov 13, 2023

  Based on observation and interview, the facility did not ensure that drugs and biological's used in the facility were labeled in accordance with currently accepted professional principles, to include the expiration date when applicable for 4 of 10 (R7, R17, R19 and R25) resident insulin's observed. * Residents' insulin, which was open and used, was not dated when opened and insulin was observed to be beyond the expiration date. Findings include: The facility policy titled: Insulin Pen which was not dated, documents (in part) . .It is the policy of this facility to use insulin pens in order to improve the accuracy of insulin dosing, provide increased resident comfort, and serve as a teaching aid to prepare residents for self-administration of insulin therapy upon discharge. […]

• No harm, potential for more than minimal, patternF880Nov 13, 2023

  Based on observation and interview, the facility did not ensure the cleaning and disinfecting of a Glucometer which was being shared between 8 residents. The Glucometer was being disinfected with a 70% isopropyl alcohol wipe rather than with a disinfectant bleach wipe in order to kill blood bourne pathogens. *On 11/9/23 Surveyor observed RN (Registered Nurse)-G administer blood glucose testing for R40. RN-G did not clean and disinfect the facility's shared Glucometer with a disinfectant wipe which kills blood borne pathogens. This deficient practice had the potential to affect 8 residents residing on the 2nd floor who utilize . […]