St Camillus Health Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Apr 14, 2025

  Based on observation, interview, and record review, the facility did not ensure residents received adequate supervision and assistive devices to prevent accidents for 2 of 6 residents (R291 and R24) reviewed for accidents. The deficient practice has the likelihood of affecting a pattern of residents at the facility has 14 residents who utilize lifts for transfers. * R291 had a care planned approach to use a Hoyer lift (a full body transfer lift that uses a sling to fully support the resident during the transfer) for transfers. R291's family brought in a sling they had purchased from an outside vendor. The facility did not ensure the sling was appropriate for R291's size/weight and also did not ensure the sling was appropriate to use with the Hoyer lift used in the facility. […]

• Immediate jeopardy, isolatedF600Feb 1, 2024

  Based on staff interview and record review, the facility did not ensure interventions were implemented to protect 2 Residents (R) (R4 and R9) of 2 residents from abuse. R4 and R9 resided in the same room. On 3 occasions, R4 was observed to be aggressive and grabbed, pulled, squeezed, and punched R9. R9 required medical attention at the emergency room (ER) following one of the incidents. Following the observations, the facility either did not implement measures to ensure R9 was protected from further potential aggression or did not follow through on recommendations for treatment. In addition to the observed incidents, R9 had numerous injuries of unknown origin which were not investigated to determine the cause or to put measures in place to prevent further injuries from occurring. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observation, record review, and interview, the facility did not ensure food was prepared, distributed, and served in accordance with professional standards for food service safety.*Supervisor Food Service - N was observed to not have facial hair covered while preparing resident food.*Manager Food Service- L was observed placing ready-to-eat bread products on residents plates with the single-use gloves after touching non-sanitized food surfaces with the same gloves. This deficient practice has the potential to affect all 41 residents who receive food from the main kitchen.Findings include: The facility policy Dress Code Policy dated 1/14/2023, documents: All hair needs to be restrained with a hair net upon entering the kitchen.The facility policy Maintain a Sanitary Tray Line… […]

• No harm, potential for more than minimal, widespreadF880Apr 14, 2025

  Based on observations, interviews, and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. * The facility does not have a current comprehensive water management plan that includes Water Management team members, flow charts specific to the facility to determine areas of concern or interventions implemented to prevent the spread of opportunistic pathogens (Legionella) in the facility's water systems. […]

• No harm, potential for more than minimal, widespreadF804Feb 1, 2024

  Pot for all FACILITY Kitchen Initial Kitchen Tour: 01/22/24 9:49 AM Interview with DM (Assistance Dietary Manager) completed: 01/22/24 9:49 AM Assist DM Name: [NAME] Credentials: Service Aid Manager and in school with Univ. South Dakota for Food Director Certification. 4 dietary manager in the building and all work somewhat with the SNF. 1/23/24 10:00 AM interview with DM [NAME] - has associate degree in food service. RD present daily, full time on site. Experience: [AGE] years Food Code Used: State food code Clinical Dietitian Name: [NAME] Time In Facility: Full time on site. Who completes resident assessments: RD Who meets with new residents regarding preferences: RD Vender: Sysco, Rynhardt Delivery Days: Tuesday and Friday. […]