St Anthony Care Center

In the surveyor’s words

From the most serious findings on record at St Anthony Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 26, 2022

  Based on observation, interview, and record review, the facility failed to ensure one of three residents (Resident 1) was provided protection from abuse when Resident 2 was allowed to enter Resident 1's room without supervision. This failure resulted in Resident 1, a dependent resident, being hit in the face with a cane by Resident 2, causing Resident 1 painful cuts in the mouth, loss of a tooth, and psychological/emotional distress. Findings: A review of Resident 1's, Admission Record, dated 1/7/22, indicated Resident 1 was admitted to the facility in 2019 with diagnoses of dementia (a brain disorder that affects the ability to remember, think clearly, communicate), generalized weakness, and difficulty walking. […]

• No harm, potential for more than minimal, patternF812Nov 16, 2023

  Based on observation, interview, and record review, the facility failed to follow proper sanitation, food handling, and food storage practices when: 1. Refrigerator 1 had two bags of iceberg lettuce that were discolored, wilted, and did not have received-by or used-by dates. 2. During tray line (serving and plating of food) service: - Pureed (a procedure to change the texture of solid food so that it is smooth with no lumps and has a texture like pudding) fish and pureed rice were watery and did not stay formed when scooped on the plate. - Scooped food on four resident plates were left uncovered after these plates were placed inside the open food cart. 3. Dietary staff switched from one kitchen task to the next without performing handwashing. 4. […]

• No harm, potential for more than minimal, patternF550Dec 3, 2021

  Based on observation, interview and record review, the facility failed to provide care in a manner that enhanced the dignity of two (Residents 5 and 16) of 11 sampled residents when two staff members (Certified Nursing Assistant 1 and Certified Nursing Assistant 5) stood and leaned over the residents during feeding assistance with two meals. This failure had the potential for Residents 5 and 16 to feel embarrassed and disrespected. Findings: A review of Resident 5's Admission Record, undated, indicated Resident 5 was admitted to the facility with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident 5's Minimum Data Set (MDS, an assessment tool used to guide care) dated 9/12/2021, indicated Resident 5 was rarely able to be understood, and sometimes understood others. […]

• No harm, potential for more than minimal, patternF584Dec 3, 2021

  Based on observation, interview, and record review the facility failed to provide a clean, safe, home-like environment for: 1. One of 11 sampled residents (Resident 17), when Resident 17's bed moved whenever Resident 17 stood up or sat down on the bed. Resident 17's room had a light fixture with a non-functioning bulb, the floor on one side of his bed was not cleaned, and there was a pile of empty garbage bags on the floor near the head of his bed. 2. Residents who used the shower room, when the shower room floor had an unlabeled hairbrush, with hair in the bristles, and a shelf in the shower room had the following items: a face mask, used gloves, four empty bottles of lotion, one bottle of conditioner, and an empty box of disposable razors. These failures resulted in: 1. […]

• No harm, potential for more than minimal, patternF755Dec 3, 2021

  Based on observation, interview and record review, the facility failed to: 1. Ensure one of (Resident 179) of 11 sampled residents received four medications as ordered by the physician. 2. Ensure expired medications were not available for resident use when one expired intravenous antibiotic ([MEDICATION(S)]) and one expired influenza vaccine were stored in the medication room refrigerator. These failures had the potential for: 1. Resident 179 to not receive medications as needed for therapeutic effect, or adverse effects if medications were administered too closely together. 2. A residents to receive expired, less effective medications. Findings: 1. […]