St Monica Center for Rehabilitation & Healthcare

In the surveyor’s words

From the most serious findings on record at St Monica Center for Rehabilitation & Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Sep 27, 2024

  Based on observations and staff interview, it was determined that the facility failed to dispose of garbage and refuse properly where food and laundry is received. Findings Include: On September 27, 2024, 11:27 a.m., reviewed the dumpster area in the presence of the Director of Environmental Services, Employee E16 (dumpster is a large trash receptacle designed to be hoisted and emptied into a truck). The dumpster was leaking and oozing creamy colored, foul odorous liquid, through the sides of the dumpster, over the floor, around the dumpster, where the floor was irregularly covered with dark greasy appeared substances. At the time of the finding, E16 confirmed the observation. 28 Pa. Code 201.18(b)(3) Management

• No harm, potential for more than minimal, widespreadF804Aug 3, 2021

  Based on observation of meal service, test tray evaluations and staff and resident interviews, it was determined that the facility failed to provide foods and drinks that were attractive, appetizing and satisfying to the palate for three of five nursing units ( St. [NAME], St. [NAME] and St. [NAME]). Findings include: Test tray evaluations were completed August 2, 2021, at 12:20 p.m., with the Food and Nutrition Department staff, the Employee E7, Dietitian, and, Employee E18, Director of Dietary. Food and fluids were evaluated during the noon meal service for the residents on August 2, 2021. […]

• No harm, potential for more than minimal, patternF656Jul 24, 2025

  Based on observation, review of clinical records, review of facility policy, interview with staff and residents, it was determined that the facility failed to develop a comprehensive person-centered care plan related to COPD (chronic obstructive pulmonary disease), oxygen use and Anxiety/ Dementia Care for three of 35 residents reviewed. (Resident R22, Resident R143 and Resident 163). Findings Include: Review of facility policy on Interdisciplinary Care Planning Protocol revealed section All Admissions - Day of admission #2. Nursing Initiates Interim Care Plan – the interim care plan must address all immediate care needs. Under section Skilled Subacute Care Admissions #2. […]

• No harm, potential for more than minimal, patternF812Jul 24, 2025

  Based on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety.Findings include: A tour of the Food Service Department was conducted on July 21, 2025, at 9:30 a.m. January 28, 2025, at 10:00 a.m. with Employee E7, Food Service Director (FSD), revealed the following concerns:Observation in the dry storage area revealed no designated area for dented cans.Observation in the walk-in freezer revealed an open box of chocolate chip cookie dough with the inner plastic bag open, and a box of pizza shells with the inner plastic bag open and a box of bacon with the inner plastic bag open to the circulating air.Interview with the FSD on July 21,… […]

• No harm, potential for more than minimal, patternF760Sep 27, 2024

  Based on review of clinical records and staff interviews, it was determined that the facility failed to ensure two residents were free from significant medication errors for two of three residents reviewed. (Resident R24, and Resident R101) Findings include: Review of resident R 24's annual [NAME] Datra Set (MDS- a federal mandated process for clinical assessments for all residents) dated August 4, 2024, revealed that Resident R24 was readmitted to the facility on [DATE], with diagnoses of seizure disorder and dementia. Resident R 4 was assessed as having a BIMS (Brief Interview of Mental States) score of 5 indicating severely impaired cognition. […]