Stonebridge Hermann

In the surveyor’s words

From the most serious findings on record at Stonebridge Hermann, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF732Jun 4, 2026

  Based on interview and record review, the facility staff failed to post accurate nurse staffing information, which included the total number of staff and the actual hours worked by both licensed and unlicensed nursing staff directly responsible for resident care per shift when staff included another employee from the assisted living facility to the total number of nursing staff working. The census was 70. 1.Review of the facility policies showed staff did not provide a policy for nurse staff posting.Review of the nurse staff posting sheets, dated 03/01/26 to 05/31/26, showed sheets contained the total number of licensed and unlicensed staff who provided care to both the skilled nursing facility and the attached assisted living facility. […]

• No harm, potential for more than minimal, widespreadF880Sep 19, 2024

  Based on observation, interview and record review, facility staff failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD- a serious type of pneumonia (lung infection) caused by Legionella bacteria, which places all residents of the facility at risk of exposure which could lead to illness. Facility staff failed to implement an enhanced barrier precautions (EBP) system for one (Resident #33) of two sampled residents with wounds when facility staff failed to wear appropriate personal protective equipment (PPE) during high-contact care activities and place PPE in close proximity. […]

• No harm, potential for more than minimal, patternF584Sep 8, 2023

  Based on observation, interview and record review, facility staff failed to maintain a safe, clean, comfortable and homelike environment, when staff failed to maintain resident equipment and rooms in good repair for five residents (Resident #20, #23, #41, #50 and #57). The facility census was 62. 1. Review of the facility's policy titled, Safe and Homelike Environment, dated October 2017, showed staff were directed to do the following: -In accordance with resident's rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible; -The facility will maintain a clean environment; -The facility will provide and maintain bed and bath linens that are clean and in good condition; -Report any… […]

• No harm, potential for more than minimal, patternF657Sep 8, 2023

  Based on observation, interview, and record review, facility staff failed to review and revise the plan of care for three residents (Resident #22, #23, and #41). The facility census was 62. 1. Review of the facility's policy titled, Comprehensive Care Plans, dated September 2022, showed staff were directed to do the following: -It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment; -The care planning process will include process will include an assessment of the resident's strengths and needs, and will… […]

• No harm, potential for more than minimal, patternF677Sep 8, 2023

  Based on observation, interview and record review, facility staff failed to ensure three residents (Residents #23, #35 and #50), who were unable to complete their own activities of daily living (ADLs) (showering/bathing, dressing, and personal hygiene), received the necessary care and services to maintain good personal hygiene. The facility census was 62. 1. Review of the facility's policy titled, Activities of Daily Living (ADLs), Supporting, dated March 2018, showed staff were directed to do the following: -Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out ADLs; -Residents who are unable to carry out ADLs independently will receive the services necessary to maintain good nutrition, grooming and personal and oral… […]