St Ann's Home

In the surveyor’s words

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

• Actual harm, isolatedF689May 25, 2022

  This citation pertains to intake MI 451. Based on observation, interview, and record review the facility failed to: 1.) ensure timely treatment and assessment of a hot liquid spill for 1 of 4 residents (Resident #1) reviewed for accidents and hazards, resulting in a second-degree burn and pain and 2.) ensure one of one kitchenette's steam table was not accessible to residents, resulting in the potential for additional [CONDITION(S)] or scalding from an unattended steam table. Findings include: During an observation and interview on 5/24/22 at 10:45 AM, the kitchenette located just down the hall from rooms 529 and 531 was unattended, no staff were present in the area, the steam table was on and functioning. The steam table well lids were lifted, and hot steam poured out. […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2023

  Based on observation, interview, and record review, the facility failed to: (1) Effectively label and monitor the expiration dates and condition of canned goods; (2) Keep food and non-food contact surfaces clean to sight and touch; (3) Maintain general cleanliness in the freezer; and (4) Properly store food product. These conditions resulted in an increased risk for contaminated foods and an increased risk of food borne illness that affected all residents that consumed food from the kitchen. Findings include: 1. On 1/23/2023 at 9:30 AM, an initial tour of the food service was conducted with Dietary Manager (DM) U and Registered Dietary Technician V. […]

• No harm, potential for more than minimal, widespreadF812Sep 29, 2021

  Based on observation, interview, and record review the facility failed to: 1. Properly date mark and discard potentially hazardous foods; 2. Fully air-dry pots and pans before being stacked and stored; 3. Thoroughly clean food contact surfaces; and 4. Properly cool potentially hazardous foods. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 38 residents who consume food from the kitchen. Findings Include: 1. During the initial tour of the kitchen, at 9:36 AM on 9/27/21, inside main cooler one, an interview with dietary technician H, found that potentially hazardous foods are held for 7 days. […]

• No harm, potential for more than minimal, patternF883Jan 11, 2024

  Based on interview and record review, the facility failed to offer and provide the pneumococcal vaccine for 5 (Resident #6, #11, #14, #41, and #44) of 5 residents reviewed for immunizations, resulting in a delay in the residents to be given the opportunity to receive or decline the pneumococcal vaccination. Findings include: According to the Centers for Disease Control and Prevention (CDC) PCV20 Vaccination for Adults [AGE] years and Older dated 02/09/23, revealed, .Routine vaccination: Adults [AGE] years or older who have- Previously received both PCV13 and PPSV23, AND PPSV23 was received at age [AGE] years or older: Based on shared clinical decision-making, 1 dose of PCV20 at least 5 years after the last pneumococcal vaccine dose . […]

• No harm, potential for more than minimal, patternF921Jan 25, 2023

  Based on observation, interview, and record review the facility failed follow maintain a sanitary environment, resulting in the potential for increased infections, cross-contamination and bacterial harborage. Findings include: In an observation on 1/23/23 at 10:43 AM., noted a sit to stand (lift to assist residents to stand and transfer) parked next to room [ROOM NUMBER]. The handle gripes visibly soiled with a crusted substance, and grime. In an observation on 1/23/23 at 11:58 AM., noted the shared bathroom for rooms 513/515. The toilet was visibly soiled with feces on toilet seat, floor in front of the toilet, the underside of the toilet seat and the base of the toilet. […]