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.

• No harm, potential for more than minimal, patternF655May 8, 2024

  Based on interviews and record review conducted during a Recertification Survey, the facility did not ensure that newly admitted resident's and/or their representatives were provided with a written summary of a Baseline Care Plan that included the minimum healthcare information necessary to properly care for the immediate needs of the resident (including but not limited to initial goals, admission orders, dietary, therapy and social services) for 9 (Residents #2, #7, #31, #40, #53, #55, #56, #57 and #58) of 11 residents reviewed. Specifically for all residents identified the facility did not provide the resident or their representative with a summary of a Baseline Care Plan in a timely manner. […]

• No harm, potential for more than minimal, patternF607Aug 29, 2022

  Based on record review and interviews conducted during the Recertification Survey completed on 8/29/22, it was determined that for two (Employees #2 and #4) 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 8/26/22 from 10:30 a.m. to 11:55 a.m., documentation related to five recently hired employees was reviewed. The records included that employee #2 was hired as a Beauty Technician on 6/28/22. […]

• No harm, potential for more than minimal, patternF689Aug 29, 2022

  Based on observation and interviews conducted during the Recertification Survey completed on 8/29/22, it was determined that the facility did not ensure that the environment remained as free of accident hazards as possible. Specifically, on six of six resident care units, hazardous chemicals were stored in unlocked rooms and accessible to 57 residents including many with dementia and/or wandering behaviors. This is evidenced by the following: Review of facility policy Storage and handling of toxic and potentially hazardous chemicals, medications and treatment procedures, dated 12/22/94 included that the policy statement was to insure the protection and safety of elders/patients, all toxic and potentially hazardous chemical, medications, and treatment products will be store in designated… […]

• No harm, potential for more than minimal, isolatedF761Sep 10, 2025

  Based on observations, interviews, and record review conducted during a Recertification Survey from 09/04/2025 to 09/10/2025, for one (1) (3200 Unit) of two (2) medication carts reviewed, the facility did not ensure that all drugs and biologicals were properly stored in accordance with State and Federal laws. Specifically, there were multiple pre-poured pills in six (6) unlabeled medication cups and all the pre-poured medications were signed off as given in the Medication Administration Record prior to administering them to the residents. […]

• No harm, potential for more than minimal, isolatedF811Sep 10, 2025

  Based on observations, interviews, and record review conducted during a Recertification Survey from 09/04/2025 to 09/10/2025, for one (1) (Resident #34) of one (1) resident reviewed, the facility did not ensure feeding assistants had successfully completed a State-approved training course that meets the requirements before feeding residents and feeding assistants provided dining assistance only for residents who have no complicated feeding problems. Specifically, Resident #34 who had a diagnosis of dysphagia (difficulty swallowing food or liquids) was observed receiving assistance with their breakfast meal from a staff member who had not completed an approved paid feeding assistant training program. […]