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🔎 St. Annes Home

Inspection Results


Inspection Overview

St. Annes Home has been cited for a total of 19 deficiencies since we began saving each survey.

In California, the average facility has **64.18 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey Date: 2023-11-17
Correction Date: 2023-11-17
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2023-11-17
Correction Date: 2023-11-17
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Post nurse staffing information every day.

Survey Date: 2023-11-17
Correction Date: 2023-11-17
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey Date: 2023-11-17
Correction Date: 2023-11-17
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey Date: 2023-11-17
Correction Date: 2023-12-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-11-17
Correction Date: 2023-12-11
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Dispose of garbage and refuse properly.

Survey Date: 2023-11-17
Correction Date: 2023-12-12
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2023-11-17
Correction Date: 2023-12-13
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2021-12-17
Correction Date: 2022-01-07
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2021-12-17
Correction Date: 2022-01-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey Date: 2021-12-17
Correction Date: 2022-01-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey Date: 2021-12-17
Correction Date: 2022-01-07
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2021-12-17
Correction Date: 2022-01-07
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey Date: 2019-03-25
Correction Date: 2019-05-10
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey Date: 2019-03-25
Correction Date: 2019-05-10
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2019-03-25
Correction Date: 2019-05-10
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey Date: 2019-03-25
Correction Date: 2019-05-10
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2018-04-20
Correction Date: 2018-06-11
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2018-04-20
Correction Date: 2018-06-11
Category: Infection Control Deficiencies
From Complaint: N

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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**