St. Catherine Healthcare

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF606Mar 17, 2026

  Based on interview, facility document review, and facility P&P review, the facility failed to ensure the safety of the residents when one of two volunteer staff (the Activity Volunteer) with a prior history of conviction was recruited to work with the residents. * The Activity Volunteer was a current sex offender registrant who was volunteering in the facility. This failure had the potential to put the residents at risk of harm or negative outcomes.Findings: Review of the facility's P&P titled Abuse: Prevention and Prohibition Against revised December 2023 showed the following:- The P&P applies to all facility staff including but not limited to employees, consultants, volunteers, students, and other caregivers who provide care and services to residents on behalf of the facility; and- All… […]

• No harm, potential for more than minimal, patternF881Mar 17, 2026

  Based on interview, medical record review, facility document review and facility P&P review, the facility failed to implement their antibiotic stewardship program to show timely physician notification for two final sampled residents (Residents 17 and 49) and three nonsampled residents (Residents 16, 47, and 93) who received antibiotics for infections that did not meet McGeer's criteria. * The facility failed to ensure Resident 47's symptoms met the criteria for a UTI, notify the physician the infection did not meet the criteria, and reassess the need for continued antibiotic therapy. * Resident 16's physician was notified the UTI infection did not meet the criteria, however there was no indication as to when the physician was notified. […]

• No harm, potential for more than minimal, patternF812Sep 26, 2024

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen when: * The facility failed to ensure the thawing process for meats was followed as per the facility's P&P. * The facility failed to ensure the kitchen utensils and equipment were stored or kept in sanitary conditions. * The facility failed to ensure the food preparation equipment were in good condition. * The facility failed to remove a bag of ham with freezer burns. * The facility failed to ensure a food preparation sink had an air gap for back flow prevention. […]

• No harm, potential for more than minimal, patternF880Sep 26, 2024

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the infection control practices designed to provide a safe and sanitary environment and help prevent the development and transmission of infections were implemented as evidenced by: * The facility failed to implement their infection control surveillance program for January through August 2024. The facility conducted surveillance of resident infections based on whether the residents were prescribed antimicrobials. […]

• No harm, potential for more than minimal, patternF812Dec 7, 2021

  Based on observation, interview, and facility document review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen. * The facility failed to ensure the measuring buckets used for food portioning were air dried prior to storing. * The facility failed to ensure the kitchen utensils were clean, free of food particles, and not worn out. These failures had the potential to cause foodborne illnesses in a medically vulnerable resident population who consumed food prepared in the kitchen. Findings: Review of the form CMS-672 Resident Census and Conditions of Residents completed by the facility dated 11/30/21, showed 69 of 77 residents residing in the facility received food prepared in the kitchen. 1. […]