St Catherine's C C of Fostoria

In the surveyor’s words

From the most serious findings on record at St Catherine's C C of Fostoria, in the surveyor’s own words.

• Immediate jeopardy, patternF678Aug 31, 2026

  Based on medical record review, staff interview, observation, review of staff written statements, review of the facility investigation, review of hospital records, review of emergency medical service (EMS) records, review of facility guidance for emergency medical codes, review of the facility's policy for cardiopulmonary resuscitation (CPR), and review of the American Heart Association guidance, the facility failed to timely respond and appropriately perform CPR for one resident (Resident #49) found unresponsive, without a pulse or respirations, and who was identified as a full code status. […]

• Immediate jeopardy, isolatedF689Feb 5, 2024

  Based on medical record review, review of a facility incident report, review of a staff statement, review of hospital reports, review of a weather report, interviews with staff and Family Member #240, and review of the policy on elopement, the facility failed to provide adequate supervision to prevent Resident #01, who had mild cognitive impairment with recent increased confusion due to a urinary tract infection, from leaving the facility unsupervised and unknown to staff. Additionally, the facility failed to complete a thorough investigation into the elopement incident. […]

• Actual harm, isolatedF692Mar 25, 2022

  Based on medical record review, staff interview, and policy review, the facility failed to timely assess and treat a resident who was at a high nutrition risk and admitted with a nasogastric (NG) tube with poor oral intake. Actual harm occurred to Resident #01, when the resident was treated in the hospital with intravenous fluids and the resident experienced a severe weight loss of 7.0 percent in two weeks. This affected one (#01) of three residents reviewed for nutritional status. The facility identified no current resident with enteral nutrition and one resident who had significant weight loss in the last month. The facility census was 43. Findings include: Review of the medical record for Resident #01 revealed the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF727Aug 31, 2026

  Based on review of staffing schedules and staff interview, the facility failed to ensure a Registered Nurse (RN) was present in the facility for eight consecutive hours per day as required. This had the potential to affect all 39 residents residing in the facility. The facility census was 39.Findings include:Review of the staffing schedules for 07/19/26 through 08/19/26 revealed there was no RN present in the facility for eight consecutive hours on 07/19/26, 07/25/26, 08/01/26, 08/02/26, 08/08/26, 08/09/26, 08/15/26, 08/16/26, and 08/17/26.Interview on 08/19/26 at 11:51 A.M. with the Director of Nursing (DON) verified there was no RN present and working in the building for eight consecutive hours on the aforementioned dates.Interview on 08/19/26 at 12:05 P.M. […]

• No harm, potential for more than minimal, widespreadF838Aug 31, 2026

  Based on review of the Facility Assessment, medical record review, review of job descriptions, and staff interview, the facility failed to ensure the facility developed a comprehensive facility assessment to include active involvement from direct care staff, residents, resident representatives and family members within the facility assessment, and failed to address the education needs of staff caring for residents with tracheostomy tubes. This had the potential to affect all 39 residents residing in the facility. The facility census was 39. Findings include:1. […]