St Patrick's Residence

In the surveyor’s words

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

• Immediate jeopardy, isolatedF610Apr 13, 2026

  Based on interview and record review, the facility failed to conduct a thorough and impartial investigation of resident abuse by a staff member. The facility also failed to maintain documentation from the witnesses of the abuse. R1 experienced pain and was crying following the incident. The alleged perpetrator was allowed to return to work another two shifts with R1. A reasonable person would experience fear and anxiety having the alleged perpetrator provide care for a dependent resident with a history suffering from abuse. This applies to 1 of 3 residents (R1) reviewed for abuse in a sample of 3.The findings include: The facility failed to conduct a thorough and impartial abuse investigation. This failure resulted in an Immediate Jeopardy. […]

• Actual harm, isolatedF689May 16, 2026

  Based on interview and record review, the facility failed to ensure a resident did not fall out of bed after being turned during incontinence care. This failure resulted in the resident slipping off the bed and experiencing bilateral distal femur fractures requiring bilateral femoral retrograde rodding. This applies to 1 of 3 residents (R1) reviewed for falls in a sample of 3. Findings Include:Review of R1's care plan shows R1's diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting her left side, osteoarthritis, and dementia with impaired thought processes. R1 was at increased risk for falls related to her weakness, hemiplegia, poor balance/coordination, and medications. […]

• Actual harm, isolatedF600Apr 13, 2026

  Based on interview and record review, the facility failed to protect a resident from physical and mental abuse from staff. These failures caused R1 to sob and experience pain following the episode of witnessed abuse. This applies to 1 (R1) of 3 residents reviewed for abuse in a sample of 3. A reasonable person would experience fear and anxiety of the alleged perpetrator to provide care for a dependent resident with a history of suffering from abuse and has experienced significant trauma during their lifetime as stated in the care plan. […]

• Actual harm, isolatedF692Dec 27, 2022

  Based on observation, interview, and record review, the facility failed to provide adequate hydration to a resident to prevent dehydration and failed to ensure residents receive tube feeding and water flushes as ordered by the physician. This failure resulted in R1 requiring hospitalization due to elevated sodium levels and dehydration. This applies to 2 of 3 residents (R1, R3) reviewed for improper nursing care in the area of tube feedings and hydration in the sample of 5. The findings include: 1. On December 20, 2022 at 11:02 AM, R1 was sitting in a high-back wheelchair in the activity room, near the nurse's station. R1 was not able to answer questions due to his cognitive status. R1 was not receiving tube feeding at the time of the observation. […]

• Actual harm, isolatedF689Jun 30, 2022

  Based on record reviews, interviews, and observations, the facility failed to safely transfer a resident from a wheelchair to a standing scale. This failure resulted in R1 sustaining a left ankle fracture. This applies to one of three residents (R1) reviewed for falls in a sample of 6. Findings include: R1's EHR (Electronic Health Record) showed that R1 was admitted to the facility on [DATE] after a hospitalization due to a fall. R1's Face Sheet showed her diagnoses include [CONDITION(S)] of the knee, repeated falls, abnormalities of gait and mobility, weakness, severe [CONDITION(S)], [CONDITION(S)], pain in left knee, and a right artificial knee joint. […]