St. Ann's Community

In the surveyor’s words

From the most serious findings on record at St. Ann's Community, in the surveyor’s own words.

• Actual harm, isolatedF686Jan 7, 2025

  Based on interviews and record review conducted during the Abbreviated Survey (NY00345886) for one (1) (Resident #3) of (3) three residents reviewed for pressure ulcers (injury), the facility failed to ensure the resident received the necessary care, treatment and services consistent with professional standards of practice to promote the healing of a pressure ulcer, prevent infection, and prevent new ulcers from developing (unless the individual's clinical condition demonstrates they were unavoidable). Specifically, Resident #3, who was assessed to be at risk for pressure ulcer development, was identified as having an open area on their left buttocks on 06/07/2024. […]

• No harm, potential for more than minimal, patternF607Sep 22, 2022

  Based on record review and interview conducted during the Recertification Survey completed on 9/22/22, it was determined that for three (Employees #1, #4 and #5) of five employee files reviewed, the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and misappropriation of resident property related to screening prospective employees. Specifically, a nurse aide registry (NAR) abuse screening was not completed prior to new employees beginning work. The findings are: On 9/19/22 from 2:00 p.m. to 3:27 p.m., documentation related to five recently hired employees was reviewed. The records included: 1. Employee #1 was hired as an Environmental Services Assistant on 8/8/22. […]

• No harm, potential for more than minimal, patternF655Sep 22, 2022

  Based on observations, interviews, and record reviews conducted during a Recertification Survey completed on 9/22/22, it was determined that for 7 (Residents #178, #187, #245, #247, #281, #298 or #357) of 35 residents reviewed, the facility did not ensure that a Baseline Care Plan (BCP) was developed and implemented within 48 hours of admission that included the minimum healthcare information necessary to properly care for the immediate needs of the resident and that a written summary of the care plan, that they were able to understand, was provided and reviewed with the resident and/or their representative in a timely manner per the regulations. […]

• No harm, potential for more than minimal, isolatedF658Apr 16, 2024

  Based on observations, interviews, and record review conducted during a Recertification Survey, for one (Resident #330) of one resident reviewed, the facility did not provide services to meet professional standards of quality.Specifically, multiple doses of a medication were left unattended at the resident's bedside with no assessment completed to ensure the safety of. This is evidenced by the following: The facility policy, Patients on Self-Medication, dated 6/6/20, documented that medical and nursing staff determine if an elder is safe to self-administer medications using nursing admission assessment to identify if patient self-medicated at home. Medical staff orders self-medications based on this information. Elders on self-medication will have a secure area provided. […]

• No harm, potential for more than minimal, isolatedF690Apr 16, 2024

  Based on observations, interviews, and record review conducted during a Recertification Survey, for one (Resident #78) of two residents reviewed, the facility did not ensure that appropriate treatment and services were provided to prevent urinary tract infections for a resident with an indwelling urinary catheter (tube inserted into the bladder to drain urine). Specifically, Resident #78 was observed on several occasions with their uncovered urinary drainage bag (bag used to collect urine through the indwelling urinary catheter) lying directly on the floor including an observation of their urinary drainage bag resting on a dining room table above the level of their bladder with several staff within view. […]