St Rose Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Apr 1, 2026

  Based on staff interview, the facility failed to ensure 1 of 1 culinary services supervisor (#2) obtained the proper qualifications to serve as the director of food and nutrition services. Failure to ensure the facility had qualified dietary management to carry out the functions of food and nutrition services may result in foodborne illness to residents, staff, and visitors.Findings include:During an interview on the afternoon of 03/31/26, the culinary services supervisor (#2) stated she is currently enrolled in a certified dietary manager course but has not completed it.The facility failed to ensure the culinary services supervisor (#2) completed the required education for a certified dietary manager, certified food service manager, or a national certification for food service management… […]

• No harm, potential for more than minimal, widespreadF801Feb 22, 2024

  Based on review of dietary department manager employment histories and staff interview, the facility failed to employ a full-time qualified dietary manager to carry out the functions of food and nutrition services. Failure to ensure qualified staff have the appropriate competencies and skill sets to carry out the functions of the food and nutrition services has the potential to result in foodborne illness and/or adverse consequences to residents, staff, and visitors. Findings include: During an interview on 02/20/24 at 11:45 a.m., a licensed registered dietician (LRD) (#2) stated she is employed at the facility on a part-time basis (approximately 16 hours per week), oversees the kitchen, food, and nutrition services, and the facility has not had a dietary manager for a while. […]

• No harm, potential for more than minimal, patternF812Apr 1, 2026

  Based on observation, review of facility policy, and staff interview, the facility failed to discard spoiled and expired food in 1 of 1 kitchen. Failure to discard spoiled and expired food may affect the quality of the food and may result in foodborne illness to residents, staff, and visitors.Findings include:Review of the facility policy titled Food Storage - Perishable occurred on 04/01/26. This policy, dated August 2019, stated, . Sanitary procedures will be maintained in perishable food storage to keep foods safe, wholesome and appetizing; and to prevent contamination.Observation of the main kitchen occurred on 03/30/26 at 11:05 a.m. […]

• No harm, potential for more than minimal, patternF880Apr 1, 2026

  Based on observation, review of facility policy, and staff interview, the facility failed to implement standard infection control practices for 1 of 9 sampled residents (Resident #3) observed during cares and 1 of 1 laundry room observed. Failure to practice infection control standards related to hand hygiene, and handling/transporting of soiled linen has the potential to spread infection throughout the facility. Findings include: Review of facility policy titled Hand Hygiene occurred on 04/01/26. This policy, dated September 2023, stated, . Times to Perform Hand Hygiene are, but not limited to: . After contact with a resident's . body fluids or excretions . After removing gloves . Review of facility policy titled Linen and Laundry occurred on 04/01/26. […]

• No harm, potential for more than minimal, patternF689Feb 2, 2023

  Based on observation and staff interview, the facility failed to ensure a safe environment for 1 of 4 sampled residents (Resident #26) in the Peace Garden Suite. Failure to properly cover and maintain a floor heating vent placed residents in the Peace Garden Suite at risk of injury. Findings include: Observation of Resident #4's room on all days of survey identified an approximate four foot long front heater vent cover pulled off about 10-12 inches away from the heating system causing possible fall risk or resident injury. The heater coils inside the floor heater were easily assessable and hot to touch. The heater unit was located approximately four feet from the resident's bed and easily assessable to residents. Review of Resident #4's medical record occurred on all days of survey. […]