St. Anthony's Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Dec 12, 2024

  Based on interviews and record review the facility failed to provide care, consistent with standards of practice, to prevent pressure injuries for one resident (Resident #1) of six reviewed for pressure injuries. The facility failed to have a system in place to monitor Resident #1 for skin changes and prevent the development of right lateral foot and ankle blanchable redness from admission on 10/11/2024 through discharge on 10/13/2024. On 10/13/2024, when family attempted to examine Resident #1's foot, he made a sound and pulled his foot away from their touch. This failure could place residents at risk for the development of pressure injuries, wounds infection, and pain. […]

• Actual harm, isolatedF755Dec 12, 2024

  Based on interviews and record review the facility failed to provide pharmaceutical services to include the acquiring and administering of medications to meet the needs of each resident for 1 of 6 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure Resident #1 received his prescribed medication for Parkinson's disease (disorder of the central nervous system that affects movement) from 10/11/2024 to 10/13/2024. Resident #1 missed 5 doses of this medication causing him discomfort and increase in symptoms. This failure placed residents at risk for pain, increases in symptoms, medical complications, and decreased quality of life. […]

• No harm, potential for more than minimal, widespreadF812Jul 14, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the kitchen. The plastic insulated warmer plates use to keep meals warm were stored wet. This failure could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: During an observation and interview on 07/12/2021 at 9:41 a.m., 25 plastic warmer plates were stacked on a cart wet. During an interview, the dietary aide said she had never been trained, she had been there 2 years and she did not know the warmer plates needed to be put up dry. During an observation on 07/12/2021, at 11:59 a.m., warmer plates were utilized during lunch meal. […]

• No harm, potential for more than minimal, widespreadF943Jul 14, 2021

  Based on interview and record review, the facility failed to ensure all staff received dementia management training for 14 of 14 staff reviewed for required abuse and neglect prevention annual training. (Admn, DON, LVN M, Diet K, ST J, OT P, PT H, SW G, Maint F, Hsk E, CNA D, C, B and A) The facility did not ensure the administrator, DON, LVN M, dietician, ST, and OT completed the required dementia management training as part of their annual training. This failure could place residents with dementia at risk of a poor quality of care by staff with inadequate training. Findings included: The undated facility's abuse and neglect policy indicated the facility would provide dementia training for all employees during orientation and annually. […]

• No harm, potential for more than minimal, patternF812Mar 26, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. 1.The facility failed to ensure sanitation practices (ensuring staff utilized hair restraints, specifically beard guards while in the kitchen)2.The facility failed to label and date all food items in the kitchen.These failures could place residents at risk of foodborne illness. Findings included: In an observation on 03/24/2026 at 9:08 AM of the kitchen revealed DA F and DA G in dish room both washing breakfast dishes. DA F observed unloading the dish machine and putting away clean dishes. […]