St. Catherine Center

In the surveyor’s words

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

• Actual harm, isolatedF580Apr 30, 2026

  Based on interview and record review, the facility failed to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical, mental, or psychosocial status for one (Resident #50) of four residents reviewed for change of condition. The facility failed to recognize a change in condition in Resident #50 on 3/13/2026 after she was reported to the CNA to be experiencing stroke like symptoms and Resident #50 was not transported to the hospital until 3/14/2026. […]

• Actual harm, isolatedF689Jul 20, 2022

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed, in that: The facility failed to utilize a two-person transfer for Resident #1 when transferring her from her wheelchair to her bed, which resulted in the resident obtaining a laceration measuring 7cm x 2cm x 5cm and requiring 22 sutures. This failure placed could place residents that require two person transfers at risk for neglect, harm, pain, and injuries. […]

• No harm, potential for more than minimal, widespreadF761Nov 10, 2022

  Based on observations, interviews, and record review the facility failed to ensure medications were stored in locked compartments to be accessed only by authorized personnel, and ensure medications were labeled in accordance with currently accepted professional principles, to include the appropriate accessory and cautionary instructions, and the expiration date in that: 148 residents medications were not properly labeled -Medications from pharmacy were not labeled with directions or expiration date. -Medication cart was left unlocked and unsupervised. […]

• No harm, potential for more than minimal, widespreadF812Nov 10, 2022

  Based on observation, interview, and record review the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for one of four kitchens reviewed for kitchen sanitation. A. The facility failed to properly store, label and cover food in the facility's walk-in refrigerator in the kitchen on 11/08/2022 from 8:30 AM -10:00 AM. B. The facility failed to ensure Dietary Baker I properly sanitized hands when placing food in bowls. C. Dietary Cook J failed to wear hair net when entering the main kitchen on first floor and Sous Chef K failed to wear a beard net when preparing food on the prep table in the main kitchen. […]

• No harm, potential for more than minimal, widespreadF812Aug 19, 2021

  Based on observation, interview, and record review, the facility failed to properly store, prepare, distribute and serve food in accordance with the professional standards for food service safety in the facility's only kitchen reviewed for safety requirements. 1. The facility failed to ensure food items in the dry pantry were labeled, dated, sealed, and free of dirt and sticky substance. 2. The facility failed to ensure food items in the refrigerator and freezer were sealed, labeled, and dated appropriately. 3.The facility failed to ensure staff wore hair restraints while in the kitchen. These failures could place residents at risk for food-borne illness and cross contamination. Findings included: 1). […]