St Catherine Laboure Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF688Oct 1, 2024

  Based on observation, interview, and record review conducted during a Standard survey completed on 10/1/24, the facility did not ensure each resident with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one (Resident #41) of one resident's reviewed. Specifically, Resident #41 was not provided with a right hand and right elbow splint as planned by Occupational Therapy. Additionally, staff lacked knowledge regarding the correct application of the right elbow splint. The finding is: The policy and procedure titled Community Based Care: Contractures with effective date 4/2/24 documented that a plan of care would be developed regarding contracture management. […]

• No harm, potential for more than minimal, isolatedF580Feb 14, 2023

  Based on interview and record review conducted during a Standard survey completed 2/14/23, the facility did not inform the resident's representative of a need to alter treatment significantly for one (Resident #29) of one resident reviewed for notification of change. Specifically, Resident #29 developed an unstageable pressure ulcer (a skin injury due to pressure where the wound base cannot be visualized due to slough or eschar [dead tissue]) to the coccyx (tail bone) and there is no documented evidence the responsible party was not notified of the development, status or treatment to the wound. […]

• No harm, potential for more than minimal, isolatedF604Feb 14, 2023

  Based on observation, interview, and record review conducted during the Standard survey completed on 2/14/23, the facility did not ensure that the resident is free from physical restraints for the purposes of discipline or convenience, and that are not required to treat the resident's medical symptoms when the use of restraints is indicated, the facility must use the least restrictive alternative for the least amount of time and document ongoing re-evaluation of the need for restraints. […]

• No harm, potential for more than minimal, isolatedF609Feb 14, 2023

  Based on interview and record review conducted during a Standard survey completed 2/14/23, the facility did not ensure that all alleged violations including abuse, neglect, exploitation or mistreatment including injuries of unknown source are reported immediately, but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) for one (Resident #44) of two residents reviewed. […]

• No harm, potential for more than minimal, isolatedF610Feb 14, 2023

  Based on interview and record review conducted during a Standard survey completed 2/14/23, the facility did not have evidence that all alleged violations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated for one (Resident #44) of two residents reviewed. Specifically, the facility did not complete a thorough investigation of a significant injury of unknown origin (fracture of the left femur) by obtaining statements from staff members who would have transferred or cared for the resident. […]