St Anthony Health & Rehabilitation

F-F554: Based on observation, interview and document review, the facility failed to ensure a self-administration of medications assessment was completed to allow residents to safely administer their own medications for 1 of 1 residents (Resident R66) observed with medications at bedside.

The facility's QAPI meeting minutes dated 1/27/25, 2/24/25, and 3/24/25, lacked ongoing data related to the above repeat citations.

On 4/10/25 at 1:45 p.m., the administrator confirmed the facility had not been tracking previous compliance with surveys, and have recently became aware and began to form a plan to monitor and maintain compliance in the future.

The QAPI policy last reviewed 1/11/25, identified the facility will demonstrate the development, implementation, and evaluation of corrective actions or performance improvement activities.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 15 of 15 245267

F-F656: Based on observation, interview and record review, the facility failed to ensure a care plan was developed and maintained to ensure appropriate care was provided for 1 of 1 residents (Resident R66) reviewed for increased care needs for a declining resident.

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F-F684: Based on interview and document review, the facility failed to follow current physician orders and parameters for 2 of 5 residents (Resident R28, Resident R61) reviewed for medications.

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