Still Hopes Episcopal Retirement Community

In the surveyor’s words

From the most serious findings on record at Still Hopes Episcopal Retirement Community, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Feb 17, 2023

  Based on review of the facility policy, record review, and interviews, the facility failed to ensure 1 of 3 Residents (R)1 was free from a significant medication error. On 2/17/23 at approximately 11:25 AM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. On 2/17/23 at 1:22 PM the Administrator and the Director of Nursing were notified that the allegation of administration of the wrong medication to Resident (R)1 by staff member, Registered Nurse (RN)1 constituted Immediate Jeopardy (IJ) at F760, with an effective date of 2/2/23. […]

• No harm, potential for more than minimal, widespreadF812Feb 25, 2022

  Based on observations, interviews, and the review of facility policies, the facility failed to ensure dishware was properly dried prior to stacking and the ice-scoop, properly stored. The facility also failed to ensure proper maintenance of the ice machine, ice-cream covers, and floors. In addition, the facility failed to practice the safe handling of food during the measuring of food temperatures. Findings include: A brief review of the facility's policy dated 3/21/2017 and titled Food Storage revealed Sufficient storage facilities will be provided to keep foods safe, wholesome, and appetizing. […]

• No harm, potential for more than minimal, isolatedF761Jun 12, 2025

  Based on review of the facility policy, observation and interview, the facility failed to ensure expired medications were removed and not stored with other medications in use for residents, in 1 of 2 medication carts. Furthermore, the facility failed to ensure medications were safely stored. Specifically, medications were left prepoured and unlabeled in the top drawer of the medication cart for 1 of 2 medication carts reviewed for medication storage. Findings include: Review of the facility policy titled Administering Medications with a revision date of April 2019, revealed, Policy Statement Medications are administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation . 12. […]

• No harm, potential for more than minimal, isolatedF880Apr 17, 2024

  Based on interview, observations, and record review, the facility failed to ensure infection control procedures were followed for one Resident (R) R13 of six residents reviewed during medication administration. The nurse failed to ensure the blood glucometer used to obtain the resident's glucose level was properly sanitized prior to use and failed to ensure the glucometer was placed on a clean barrier in the resident's room during use. A total of 8 residents were reviewed in the sample. Findings include: The facility's undated Obtaining a Fingerstick Glucose Level Policy read, in pertinent part, Steps in the Procedure; and 3. Always ensure that blood glucose meters intended for reuse are cleaned and disinfected between resident uses. […]

• No harm, potential for more than minimal, isolatedF880Feb 25, 2022

  Based on observation, interview, and review of facility policy and procedure the facility failed to ensure 1 of 1 staff Licensed Practical Nurse (LPN)2 performed proper hand hygiene for 2 of 2 Residents (R)7 and 14) during medication administration. Specifically, the failure to perform hand hygiene has the potential to cause infections within the residents during medication administration. Findings include: Review of undated facility policy titled Instillation of Eye Drops revealed, Steps in the procedure .2. Wash and dry your hands thoroughly. 3. Put on gloves .13. Remove gloves and discard into designated container. Wash and dry your hands thoroughly . […]