St Clair Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880May 26, 2022

  Based on observation, interview, and record review, the facility staff failed to use appropriate infection control procedures to prevent or reduce the risk of spreading bacteria including COVID-19, when staff failed to separate two residents who tested negative for COVID-19 (Residents #2 and #4) from their roommates who tested positive for COVID-19 (Residents #1 and #3). The facility census was 52. The administrator was notified on 05/25/22 at 1:30 P.M. of an Immediate Jeopardy (IJ) which began on 05/18/22. The IJ was removed on 05/26/22, as confirmed by surveyor onsite verification. 1. […]

• Actual harm, isolatedF689Feb 19, 2026

  Based on interview and record review, facility staff failed to prevent an injury to one resident (Resident #1) when a Certified Nursing Assistant (CNA) rolled the resident during care, without the assistance of second staff member, as directed in the resident's Plan of Care. The facility census was 57.The administrator was notified on 03/04/26 of past Non-Compliance which occurred on 02/08/26. On 02/08/26 the Director of Nursing (DON) investigated the fall, immediately educated Licensed Practical Nurse (LPN) B and CNA A on proper transfers, two person assist with care, and communication with other staff. The DON in-serviced all direct care staff on where to find information on resident care plans, and the need for two assists for the resident. […]

• No harm, potential for more than minimal, patternF689Feb 7, 2025

  40424 Based on observation, interviews, and record review facility staff failed to safely propel three residents (Resident #23, #263, and #5) in a wheelchair. Facility staff failed to safely store hazardous materials in a manner to prevent accidents in one shower room and one storage room. The facility census was 58. 1. Review of the facility's Wheelchair Mobility policy, dated 2023, showed staff were directed that if a resident needs to be propelled and does not generally move or propel the wheelchair on their own, proper foot positioning on wheelchair pedal will be maintained and provided. 2. […]

• No harm, potential for more than minimal, patternF812Jan 13, 2023

  Based on observation, interviews, and record review, the facility staff failed to change gloves and perform hand hygiene as often as necessary, to cover trash cans when not in use, and to properly store open food to prevent cross contamination and outdated usage. This had the potential to affect all facility residents. The census was 49. 1. Review of the facility's Proper Hand Washing and Glove Use policy, dated 2020, showed: - All employees will wash hands upon entering the kitchen from any other location and between all tasks. Handwashing should occur at a minimum of every hour. […]

• No harm, potential for more than minimal, patternF880Jan 13, 2023

  Based on observation, interview, and record review, the facility staff failed to ensure proper hand hygiene was performed during medication pass for four (Residents #13, #39, #29, and #46) out of nine sampled residents. The facility census was 49 residents. 1. Review of the facility's Handwashing Policy and Procedures, undated, showed the policy directed staff to wash hands in the following situations: -When coming on duty; -When hands are obviously dirty; -Between handling of individual residents; -Before and after touching one's face; -Before and after use of toilet; -Before and after eating; -After handling dressings, used sputum containers, soiled urinals, catheters and bedpans or being exposed to body fluids; -Before leaving work. […]