St Clare Living Community: Hand Hygiene Failures - MN
Inspectors watched the entire round. At 1:56 p.m., the nursing assistant stopped outside the room of a resident with heart disease, hypertension, and acid reflux. She went in without gloves, retrieved the resident's water cup, and scooped ice from a shared oversized pitcher using a plastic glass. Then she put that same glass back into the pitcher, resting it directly on top of the remaining ice.
She moved to the next room without washing her hands. She used the same plastic glass, still sitting on the communal ice, to fill another cup for a resident with heart failure and diabetes. She added a cup of juice and a bag of chips and brought everything in.
She came out. No hand hygiene.
At the third room, she knocked, went in, and came out carrying a plate of uneaten food. She dropped it into the garbage bag hanging off the cart. Then, without washing her hands, she picked up a banana and brought it into the room.
When inspectors spoke with her minutes later, the nursing assistant confirmed she put the plastic glass back into the ice pitcher after each room. She said it didn't touch anything. She confirmed she had not performed hand hygiene before entering rooms, after leaving them, or after handling the discarded food.
The director of nursing, interviewed the following morning, said she would expect staff to wash their hands before entering and after leaving a resident room. She acknowledged that using a cup from residents' rooms to scoop shared ice and then returning it to the pitcher was an infection control concern.
The nursing assistant told inspectors she made this same run twice a day.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for St Clare Living Community of Mora from 2026-05-01 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
ST CLARE LIVING COMMUNITY OF MORA in MORA, MN was cited for violations during a health inspection on May 1, 2026.
Inspectors watched the entire round.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.