St Patrick's Manor

In the surveyor’s words

From the most serious findings on record at St Patrick's Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Aug 25, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Advanced Directives indicated he/she was a Full Code (in the event of cardiac or respiratory arrest, attempts at resuscitation would be initiated) and that he/she wanted to be transferred to the Hospital for care, the Facility failed to ensure nursing provided him/her with basic life saving measures including Cardio-Pulmonary Resuscitation (CPR), in an attempt to resuscitate him/her. On [DATE] at approximately 3:50 P.M., Resident #1 was found unresponsive by Nurse #1, he/she was without a pulse or respirations, had no blood pressure and his/her skin was warm to the touch. […]

• Actual harm, isolatedF656Jul 24, 2024

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Comprehensive Plan of Care and Plan of Care Kardex, indicated he/she required extensive assistance from two staff members during transfers for safety, the Facility failed to ensure staff consistently implemented and followed interventions identified in his/her Plans of Care, when on 07/03/24, CNA #1 transferred Resident #1 using a Sit/Stand Lift device (lift device that helps individuals who have difficulty standing up, from a seated position), without having another staff member present to assist her with the transfer, Resident #1 became weak during the transfer, started to slide out of the lift seat, CNA #1 then tried to lower him/her to the floor, Resident #1 immediately complained of pain,… […]

• Actual harm, isolatedF689Jul 24, 2024

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed by nursing as being at high risk of falls, was known to have poor safety awareness, weakness due to a stroke and required the assistance of two staff members for transfers, the Facility failed to ensure Resident #1 was provided with the necessary level of staff assistance during a transfer to prevent an incident/accident resulting in a serious injury. On 07/03/24, CNA #1 transferred Resident #1 with a Sit/Stand Lift device (device that helps individuals who have difficulty standing up, from a seated position) without having another staff member present to assist her, during the transfer Resident #1 started to slide out of the lift seat, CNA #1 then tried to lower him/her to the… […]

• Actual harm, isolatedF600Apr 30, 2024

  Based on interviews and records reviewed, for one of three sampled residents (Resident #2), whose primary spoken language was not English, the Facility failed to ensure he/she was free from abuse, when on 4/08/24, during the evening shift, when Resident #2 approached Nurse #1, who was in the hallway at the medication cart, to ask for his/her supplement, Nurse #1 yelled at Resident #2 in a humiliating and verbally aggressive manner saying, you are in America now, you need to learn to speak English! The altercation was witnessed by two other residents, who said Resident #2 was upset and crying after Nurse #1 yelled at him/her. […]

• No harm, potential for more than minimal, patternF658Feb 25, 2025

  Based on record review, and interview, the facility failed to provide care consistent with professional standards of practice relative to the administration of prescribed medication for one Resident (#145) out of a total sample of 36 residents. Specifically, for Resident #145, the facility failed to administer a Physician ordered antihypotensive medication (used to treat low blood pressure) as needed (PRN) when Systolic Blood Pressure (SBP - the top number of the blood pressure reading which indicates the force of circulating blood pushing against the artery when the heart beats) measurements were documented below 100 mmHg (millimeters of mercury) for the Resident. […]