St Luke's Helen G Nassif Transitional Care Center

In the surveyor’s words

From the most serious findings on record at St Luke's Helen G Nassif Transitional Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jan 18, 2024

  Based on observation, staff interview, and facility policy review, the facility failed to label and date food items when opened to reduce the risk of contamination and food-borne illness. The facility reported a census of 31 residents. Findings Include: On 1/16/24 at 10:08 AM, during the initial tour of the facility kitchen revealed the following food items not labeled or dated when opened: a. A bag of frozen baby baker potatoes. b. A bag of frozen mixed vegetables. c. A bag of frozen fajita blend vegetables. d. A bag of frozen cascade blend vegetables. e. A bag of frozen pasta. f. A bag of frozen garlic bread. g. A bag of elbow macaroni noodles. h. A bag of egg noodles. i. A bag of spaghetti noodles. j. A bag of long grain rice. k. […]

• No harm, potential for more than minimal, patternF655Nov 10, 2022

  Based on observations, staff interviews and facility policy review the facility failed to have the residents' Baseline Care Plans available for staff to review for 4 out of 4 resident reviewed (Resident #76, #77, #78, and #79). The facility reported a census of 30 residents. Findings Include: 1. The Minimum Data Set Assessment (MDS) for Resident # 76 dated 11/3/22, listed diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The MDS reflected the residents Brief Interview for Mental Status (BIMS) score as 11 out of 15 (moderately impaired) and the resident lacked wandering behaviors in the look back period. […]

• No harm, potential for more than minimal, patternF761Nov 10, 2022

  Based on observation, staff interview, record review and facility policy review, the facility failed to adequately count narcotics and provide secure storage for medications during 1 out of 3 observations of a Narcotic Count between two shifts. The facility reported 9 residents with Doctor Orders for narcotic medications. The facility reported a census of 30 residents. Findings Include: According to the Minimum Data Set (MDS) assessment dated [DATE] for Resident #17 shown diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The MDS identified Resident #17 scored a 9 out of 15 on the Brief Interview for Mental Status (BIMS), indicating the resident had severe cognitive impairments. […]

• No harm, potential for more than minimal, patternF880Jun 3, 2021

  Based on observations, staff interviews, and record review the facility failed to properly cover clean laundry carts in an effort to reduce the risk of spreading infections. The facility reported a census of 19 residents. Finding Includes: Observation on 6/2/21 at 8:40 AM, revealed Staff A, Environmental Services, passed personal laundry to several resident rooms in an uncovered wire cart. The laundry is stored individually in mesh bags but not covered. During the Laundry Tour on 6/2/21 at 1:45 PM, Staff A presented a clean linen cart with a see through mesh cover used during the transportation of clean linens. […]

• No harm, potential for more than minimal, isolatedF550Mar 5, 2026

  Based on staff and resident interviews, clinical record review, and facility policy review, the facility failed to ensure a resident was treated in a dignified manner for 1 of 5 residents reviewed (Residents #3). The facility reported a census of 41 residents.Findings include: The Minimum Data Set (MDS) dated [DATE] identified Resident #3 was cognitively intact with a Brief Interview for Mental Status (BIMS) of 15 out of 15, and had the following diagnoses: Chronic diastolic (congestive) heart failure, diabetes mellitus and morbid obesity. […]