St. Anne's Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · F2023-11-17 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to designate a registered nurse to serve full-time as the Director of Nurses (DON). The last designated DON ended employment in December, 2022. A waiver from this requirement was not obtained by the facility. The facility has been without a designated DON for 11 months. This failure had the potential to affect the quality of care and outcomes of resident care. Findings: During an interview on 11/13/23, at 2:30 PM, the acting Director of Nurses, (DON) stated she was the interim DON and was considering the salary offer before considering an offer of full-time designated DON. The last designated DON ended employment in December, 2022, 11 months ago. She stated she did not have a DON business card. Record Review of facility document provided on 11/14/23 indicated, Currently we have an interim Nurse Manager/DON who works 40 hrs./week. Record Review of facility Organizational Chart obtained on 11/15/23 indicated, . Nurse Manager, RN-interim. The Director of Nurses was not indicated on the organizational chart. During an interview…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-11-17 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to ensure food was served in a sanitary environment when: 1. Three window screens had gaps, one window screen was missing, and a door screen had a gap. 2. One onion was rotting, and four onions were sprouting in the produce container. 3. A fan over the dishwashing area had grills that were caked with dust. 4. Observation of the pantry found one dented can and one can without a label. Findings: During initial kitchen observation on 11/13/2023 at 9:34 AM, three window screens were not covering the window openings. There were gaps along the edges of these window screens. One window near the dishwashing area was wide open and did not have a window screen. Observation of the back service door screen from the inside indicated there was a gap (at the right lower corner) between the door screen and the door frame. Observation of the fresh produce bin found one onion rotting and four onions sprouting. Observation of a fan over the dishwashing area indicated the grills of the fans were caked with a fine layer of fuzzy grey/dark matter.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-17 · tag F0814 — failed to dispose of garbage properly — pattern
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, facility staff failed to close their garbage dumpster when not being loaded. This failure had the potential to attract pests and rodents. Findings: During a concurrent observation and interview regarding the facility's dumpsters on 11/16/2023 at 1:45 PM, the metal lid of the garbage dumpster was found propped opened. The Maintenance Tech (MT) stated that some of the smaller women staff may have a hard time opening these heavy dumpster lids and maybe injuring their hands. That was why the garbage dumpster was propped opened.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-17 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain an effective pest control program when: 1. A flying insect was seen over the produce bin in the kitchen. 2. An ant was found in the second-floor food service area. Failure to maintain an effective pest control program placed residents at risk for food contamination and food borne illnesses. Findings: During initial kitchen observation on 11/13/2023 at 9:34 AM, a flying insect was flying above the produce bin over a rotting onion. During tray line observation on 11/14/2023 at 12:15 PM, an ant was seen crawling on the food service counter in the second-floor dining area. This observation was verified with the Director of Dining Services. During an interview on 11/16/2023 at 1:20 PM, the Maintenance Tech (MT) stated the facility has a contract with a pest control company and the pest company comes on a monthly basis and also on an as needed basis. The MT acknowledged that it may be difficult to keep flying pests out of the kitchen if there were window screens and door screen issues. Additionally, the MT stated he was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-17 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to post a current, daily nurse staffing Assignment Schedule, at each nurse station, for every shift, in a clear and readable format, in a prominent, visible, easily accessible location for residents, visitors, and others. This failure had the potential to cause residents, visitors, and others to have difficulty locating residents or their caregivers at any given time. Findings: During an observation on 11/13/23 at 10 AM, Nurse Staffing Assignment schedules were not displayed in either nurses station of the facility. The door into the room of the nurses station had a DO NOT ENTER sign on the door of both nurses stations. Residents and visitors were not permitted to enter nurses station to review the schedule. During an interview on 11/14/23, at 1:45 PM, Licensed Vocational Nurse (LVN) 1, inside the nurses station, provided a copy of nurse and CNA (Certified Nurse Assistants) schedule. LVN 1 stated the nurses and CNAs all help care for each resident and there are no nurse/CNA's assignment schedules for residents.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-17 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to: 1). label a refrigerated storage bag containing (64) house supply suppository medications with the correct expiration date. The storage bag of suppositories had an expiration date label of 9/22/23. The suppositories inside the storage bag had an expiration date of 2025. 2). Two Emergency Medication Kit boxes filled with injectable and oral medications had expired medications dated 7/2023 - 11/1/23. 3). Two refrigerated suppository medications had expired dates of 9/22/23 and 10/2023. 4). Three medical supplies had expired dates of 10/2020, 10/21/21, and 10/15/23. These failures had the potential to affect the quality of care and treatment of residents. Findings: In an observation of the medication storage room on 11/16/23, at 2:42 PM, accompanied by Licensed Vocational Nurse (LVN) 2, 1). a storage bag containing (64) house supply suppository medications was labeled with the expired date of 9/22/23. The house supply of suppository medications inside the storage bag had an expired date of 2025. During a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-11-17 · tag F0802 — failed to prepare enough nourishing food — isolated
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, three kitchen staff were not knowledgeable about the over the hood fire suppressant system. Failure to train kitchen staff upon hire and on a regular basis about all fire suppressant system in the kitchen did not ensure kitchen staff would be able to respond appropriately in the event of a fire within the kitchen. Findings: During initial kitchen observation and concurrent interview of the over the hood fire suppressant system (ANSUL) on 11/13/2023 at 09:34 AM, there was no obvious pull station to manually trigger the system in the event of a fire. Food Service Worker (FSW) 1, 2, and 3 were asked where the pull station was to activate the ANSUL system. All three kitchen staff were unable to identify where the pull station was. During an interview on 11/16/2023 at 1:20 PM, the Maintenance Tech (MT) stated he was responsible for staff fire training and fire drills. The MT stated he was aware of the ANSUL system in the kitchen and where the pull station was. The MT stated he was not aware if kitchen staff were trained regarding the ANSUL system upon…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-17 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to promptly notify the physician and/or do a more comprehensive assessment for Resident 30, one of three sampled residents who had a fall and complained of pain. Resident 30 had a fall then complained of pain. It took almost 8 hours before staff obtained an x-ray to confirm a right leg fracture. Findings: Review of Resident 30's record titled, Minimum Data Set (MDS), dated [DATE], indicated she was alert and oriented, able to make her needs known and able to understand others. Additionally, her MDS indicated she did not have any behaviors such as rejecting care, she was wheelchair bound and dependent on staff for assistance. Review of Resident 30's record titled Alert Note, dated 9/7/2023, indicated Resident reported she slid out of her chair to the floor . Review of Resident 30's record titled Fall, dated 9/7/2023, indicated .Resident complained of right hip pain at first but after placed in bed and assessed does not complain of pain. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2021-12-17 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview, and record review, the facility failed to maintain professional standards for food service safety to ensure safe food handling and storage when: 1. Staff personal belongings were stored in kitchen equipment storage room. 2. Temperature checks log were not completed for the dry storage areas on certain days. 3. Food items stored in kitchen past the use by date (date after which an item should not be used) This deficient practice had the potential to expose residents to food borne illnesses and to affect their appetite due to decreased potency and flavor of expired food items. Findings: 1. During an observation on 12/14/21, at 9:43 AM, in the kitchen, found staff personal jacket, backpack and hat, placed on top of a kitchen countertop where kitchen items such as trays and food containers were also stored. During an interview on 12/14/21, at 12:30 PM, with Dietetic Services Supervisor (DSS), DSS stated, kitchen staff should store personal clothing and items in their locker room to prevent cross-contamination. 2. During an observation on 12/14/21, at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-12-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, resident's dignity and self-worth were not maintained and enhanced when one of 12 sampled residents (Resident 41) was assisted to eat lunch by a staff standing up next to his wheelchair. This failure may impact resident's quality of life. Findings: Resident 41 was admitted on [DATE], with diagnoses including dementia (loss of memory and judgement). During a review of Resident 41's Minimum Data Set (MDS, a resident assessment tool), dated 11/27/21, MDS indicated, Resident 41 has severely impaired cognition. MDS also indicated, Resident 41 required one-person limited-assistance (non-weight bearing support) with eating. During an observation on 12/14/21, at 12:10 PM, in dining room, Staff 1 was observed assisting a resident in a wheelchair. Staff 1 was observed spoonfeeding puree food and thickened-cranberry juice to Resident 41 while standing up next to the wheelchair. During an interview on 12/17/21, at 11:30 AM, with Director of Nursing (DON), DON stated, staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in CA