St Luke Living Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 22, 2024

  The facility reported a census of 29 residents. Based on observation, interview, and record review, the facility failed to ensure foods were stored, prepared, and distributed in a manner to prevent foodborne illness to the residents. Findings included: - Observation on 02/21/24 at 01:30 PM, during the environmental tour with Dietary Staff CC and Administrative Staff A, revealed the following areas of concern: 1. The food preparation and serving areas contained 18 approximately two feet by three-foot ceiling tiles which contained black dust like substances and grime. Several tiles contained brown discolorations resembling handprints. 2. The ceiling light in the food preparation area contained a black dust like substance and white dust like substance. […]

• No harm, potential for more than minimal, widespreadF851Feb 22, 2024

  The facility reported a census of 29 residents. Based on interview and record review the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e., Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report Licensed Nurse Coverage for 24 hours a day on 12 days during the third quarter 2023. Findings Included: - Review of the 'Payroll Base Journal (PBJ) Staffing Data Report for fiscal year (FY) Quarter 3, 2023 (April 1-June 30) revealed lack of Licensed Nurse for the following 12 days: On 04/01 Saturday (SA). […]

• No harm, potential for more than minimal, widespreadF880Feb 22, 2024

  The facility reported a census of 29 residents. Based on interview and record review, the facility failed to maintain an infection prevention and control program to proactively monitor infections in the facility to help prevent the spread among the residents of the facility. Findings included: - The facility lacked a surveillance plan for identifying, tracking, monitoring and reporting infections among residents. On 02/22/24 at 01:15 PM, Administrative Nurse D stated the facility did not currently use any criteria for tracking and trending infections. The facility lacked a policy for infection control surveillance. […]

• No harm, potential for more than minimal, widespreadF730Jun 21, 2022

  The facility reported a census of 19 residents. Based on interview and record review, the facility failed to provide direct care staff annual evaluations/performance reviews to determine strengths and weaknesses in providing resident care. Findings included: - Review of five Certified Nursing Assistant (CNA) personnel files revealed the following: Review of CNA M, with hire date of 07/05/19, revealed lack of an annual review. Review of CNA N, with hire date of 05/21/14, revealed lack of an annual review. Review of CNA O, with hire date of 12/18/20, revealed lack of an annual review. Review of CNA P, with hire date of 09/09/20, revealed lack of an annual review. Review of CNA Q, with hire date of 12/01/21, revealed lack of an annual review. […]

• No harm, potential for more than minimal, widespreadF812Jun 21, 2022

  The facility reported a census of 19 residents. Based on observation, record review and interview, the facility failed to store food under sanitary conditions to prevent the spread of food borne illnesses to residents of the facility. Findings included: - During an environmental tour on 06/20/22 at 10:00 AM, with Housekeeping/Maintenance Staff U, revealed the following concerns in the kitchenette area in the resident area on the 500 hall: 1. The resident's common microwave had a large amount of dried food on the inside. 2. The residents' refrigerator had dried food and food debris that littered the bottom shelf of the refrigerator on the bottom shelf. 3. There was a plate of raw vegetables, dated 06/13/22. 4. There was an unopened bag of kale and turnips, undated. 5. […]