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