Villa St Francis Catholic Care Center Inc

In the surveyor’s words

From the most serious findings on record at Villa St Francis Catholic Care Center Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Dec 31, 2024

  The facility identified a census of 136 residents. The facility identified 19 residents on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to ensure the blood pressure cuff, pulse monitor, and oxygen saturation equipment were sanitized after each resident's use and further failed to ensure all oxygen cannulas and nebulizer masks were stored in a sanitary manner. […]

• No harm, potential for more than minimal, patternF686Dec 31, 2024

  The facility identified a census of 136 residents. The sample included 27 residents with four reviewed for pressure ulcers (localized injury to the skin or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear or friction). Based on interviews, observations, and record reviews, the facility failed to ensure Resident (R) 66's low air-loss mattress was set to the appropriate weight settings for pressure reduction. This deficient practice placed R66 at risk for complications related to skin breakdown and pressure ulcers. […]

• No harm, potential for more than minimal, patternF689Dec 31, 2024

  The facility had a census of 136 residents. The sample included 27 residents, with five residents reviewed for accidents and, or hazards. Based on observation, record review, and interview, the facility failed to secure areas containing hazardous materials to keep them out of reach of 28 cognitively impaired, independently mobile residents. This deficient practice placed the affected residents at risk for preventable injuries and accidents. Findings Included: - On 12/23/24 at 07:10 AM, a walkthrough of the facility was completed with the following observation: An inspection of the 100-unit (secured unit for severely cognitively impaired residents) revealed unlocked closets in the sitting area of the left-side dining room. […]

• No harm, potential for more than minimal, patternF805May 23, 2023

  The facility had a census of 118 residents. The sample included 25 residents. Based on observation, interview, and record review, the facility failed to provide food prepared in puree form (to chop or grind into a thick paste), from a standardized recipe for eight residents who received pureed meals which placed the residents at risk to not receive essential nutrients. Findings included: - On 05/18/23 at 11:10 AM, observation revealed Dietary Staff (DS) CC prepared the noon meal of which one of the menu items consisted of zucchini. DS CC placed the zucchini, with the liquid it had been prepared with, into the facility's blender. DS CC initiated the blender, added tap hot water and a commercial thickening agent. […]

• No harm, potential for more than minimal, patternF812May 23, 2023

  The facility had a census 118 residents. The sample included 25 residents. Based on observation, record review, and interview, the facility failed store, prepare, and serve food, in a sanitary condition for residents who received meals from the facility kitchen, which placed them at risk for food borne illness. Findings included: - On [DATE] at 11:00 AM, during observation of the kitchen, Dietary Staff (DS) BB reported the main kitchen dishwasher had not been working since [DATE]. DS BB stated the repair required a part that had not been received. The kitchen was utilizing the three-compartment sink for washing cook and prep ware. The Hydrion Micro Essential sanitation test strip had an expiration date of [DATE]. […]