St Vincent's - A Prospera Community

In the surveyor’s words

From the most serious findings on record at St Vincent's - A Prospera Community, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 3, 2025

  1. Based on record review, review of facility policy, and resident, family, and staff interviews, the facility failed to ensure residents remained free from physical and mental abuse for 1 of 1 confidential resident (Resident A) with allegations of abuse. Failure to provide services necessary to avoid mental/emotional distress and physical harm resulted in fear and an unsafe environment for Resident A and has the potential for all residents to experience psychosocial harm. Findings include: Review of the facility policy titled Abuse and Neglect occurred on 04/03/25. This policy, revised 07/22/24, stated, . The resident has the right to be free from abuse . Residents must not be subjected to abuse by anyone, including, but not limited to . […]

• Actual harm, isolatedF605Apr 3, 2025

  Based on observation, record review, and review of the North Dakota Resident's Rights Guide, the facility failed to ensure residents remained free of chemical restraints for 1 of 1 sampled resident (Resident #37) with an as needed (PRN) psychotropic medication. Failure to assess resident behaviors in an effort to determine causative/precipitating factors, develop a behavioral care plan, and implement individualized interventions in an attempt to manage behaviors resulted in the frequent utilization of psychotropic medications to control Resident #37's behavior. Findings include: Review of the North Dakota Long Term Care Ombudsman Program Resident's Rights Guide, dated 03/21/23, pages 12-13 stated, . Chemical . […]

• Actual harm, isolatedF692Feb 29, 2024

  Based on record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services for 1 of 5 sampled residents (Resident #77) identified with weight loss. Failure to evaluate Resident #77's weights, monitor intake of nutritional supplements, and implement additional interventions resulted in a significant weight loss. Findings included: Review of the facility policy titled Weight and Height occurred on 02/29/24. This policy, revised 09/18/23, stated, . To ensure that the resident maintains acceptable parameters of nutritional status regarding weight . to monitor weight loss or gain in a resident . Residents at nutritional risk will be weighed weekly . Weight Procedure . 7. […]

• No harm, potential for more than minimal, widespreadF804Apr 3, 2025

  Based on observation, review of facility policy, test tray, and resident interviews, the facility failed to serve foods at palatable temperatures in 3 of 3 units ([NAME] Place, Sacred Heart Place, and [NAME] Place). Failure to serve food at a temperature that is acceptable and palatable to residents' places residents at risk of decreased intake, weight loss, and nutritional decline. Findings include: Review of the facility policy titled Dining Service Standards occurred on 04/03/25. This policy, dated 06/13/24, stated, . Definitions: Food Distribution - the process of getting food to the resident. […]

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observation, review of professional reference, and staff interview, the facility failed to maintain cold storage areas and kitchen equipment in a sanitary manner for 1 of 1 kitchen. Failure to clean fans, ceilings, walls in areas where food is stored and failure to ensure a cleanable surface for kitchen equipment has the potential for contamination of food and may result in a foodborne illness. Findings Include: The 2022 Food and Drug Administration (FDA) Food Code, Chapter 3 Food, Section 3-305 Preventing Contamination From the Premises, Section 3-305.11 states, A. Food shall be protected from contamination by storing the food: . 2) Where it is not exposed to . dust, or other contamination. The 2022 Food and Drug Administration (FDA) Food Code, Annex 3, Chapter 4 Equipment, . […]