St Vincent's - A Prospera Community
ST VINCENT'S - A PROSPERA COMMUNITY in BISMARCK, ND — inspection on April 3, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility policy titled Call Light occurred on 04/02/25.
This policy, revised 07/29/24, stated, When resident's call light is observed/heard, go to the resident's room promptly.
Review of the resident council meeting minutes, dated November 2024-February 2025, identified the following resident concerns:
* Call light was on for long periods of time.
* Call light was on for 30 minutes to a hour.
The Resident Council met on 03/31/25 at 1:20 p.m.
The residents voiced the following concerns during the meeting:
* Resident F stated he/she has waited 30 minutes for his/her call light to be answered. He/she also reported activities are often delayed and/or cut short due to a lack of staff.
* Resident G stated he/she has waited 30 minutes for his/her call light to be answered, especially at 8:00 a.m. , 2:00 p.m., or 10:00 p.m.
* Resident H stated he/she has waited over 30 minutes for his/her call light to be answered, and has experienced pain/discomfort waiting to go to the bathroom. He/she also reported the activities department was short staffed.
355060
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 355060 B.
Wing 04/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
St Vincent's - A Prospera Community 1021 N 26th St Bismarck, ND 58501
F-F812 Store, Prepare, and Serve Food in Sanitary Manor
*
Review of the facility policy titled Perineal Care occurred on 04/03/25.
This policy, revised 07/29/24, stated, . using gentle downward strokes from the front to the back of the perineum .
- Review of Resident #78's medical record occurred on all days of survey.
The care plan stated, .
The resident requires Enhanced Barrier Precautions (EBP) R/T [related to]: foley catheter.
Instruct staff to wear disposable gloves and gown when performing high contact resident care activities .
Observation on 04/02/25 at 11:11 a.m. showed Resident #78's room with signage for EBP on the door and a supply cart located at the entrance of the room.
The certified nurse aide (CNA) (#4) entered the room to empty the resident's urinary drainage bag.
The CNA applied gloves, failed to apply a gown, cleaned the end of catheter tubing with an alcohol swab, emptied urine into a collection container, then emptied the urine into the toilet.
The CNA (#4) failed to apply a gown when providing high-contact care (emptying a urinary drainage bag) for Resident #78.
- Review of Resident #25's medical record occurred on all days of survey.
Diagnoses include acute cystitis without hematuria (bladder inflammation without blood in urine) and a history of urinary tract infections.
The quarterly Minimum Data Set (MDS), dated [DATE], identified occasionally incontinent of urine and a UTI within the last 30 days.
Review of Resident #25's laboratory values over the past six months showed positive urine cultures in November 2024, February 2025, and March 2025 (indicating UTIs).
The resident was hospitalized from February 14-18, 2025 related to a UTI requiring IV (intravenous) antibiotics.
The current care plan stated, . at risk for bladder infections R/T [related to] HX [history] of UTI .
Monitor/document for s/s [signs and symptoms] UTI . TOILET USE: .
Wears a liner in her own undergarments.
Peri [perineal] care assist of 1 .
355060
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 355060 B.
Wing 04/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
St Vincent's - A Prospera Community 1021 N 26th St Bismarck, ND 58501
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.