St Andrew's At Francis Place

During an interview on 8/29/25 at 12:00 P.M., the Therapy Director said Resident #21wais currently on hospice, but he/she was still supposed to receive walk to dine services.

Residents #2, #18 and #19 were currently receiving skilled therapy but they should also receive walk to dine services. Resident #2 needed supervision while walking because his/her rollator (walker) got away from him/her and he/she had a history of seizures. Resident #9 needed contact guard assistance (physical support or steadying is required to walk) while walking because he/she could not feel the bottom of his/her feet due to neuropathy (damage or disease affecting the nerves that can cause pain or numbness). Resident #18 needed supervision to walk because his/her feet get away from him/her and he/she fell a couple of months ago. Resident #19 had a history of falls and needed supervision while walking. Resident #21 needed contact guard assistance to walk because his/her knee could buckle on him/her.

The walk to dine program benefited residents by keeping them mobile, increasing functional mobility and decreased their fall risk. 12.

During an interview on 8/29/25 at 2:17 P.M., LPN I said the facility put out new Kardex's for each resident a few days ago.

They got a list of residents on walk to dine on 8/25/25. It was not the first time they had a list, but they were not consistent with updating them.

Sometimes he/she knew who was on the walk to dine program, but if the list was not available or updated, he/she did not know. CNAs were responsible to walk with residents to/from the dining room. 13.

During an Interview on 8/29/25 at 2:15 P.M., the Administrator said she expected staff to follow the facility's policies. CNAs should know who was on the walk to dine program and they should offer walk to dine services to the residents at every meal.

The walk to dine program was important to maintain functional ability and could potentially assist in preventing falls.

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