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St. Anne's Home
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(Provided by Gilbert Guide's on-site reviewer)
Run by the Little Sisters of the Poor, St. Anne’s Home began in 1902 with a mission to serve the poor; most of today’s residents are low-income and receive state assistance. The building houses two distinct populations. One portion is licensed as a Residential Care Facility for the Elderly (RCFE) while the other is the skilled nursing unit. The charming building is located in an upscale neighborhood near the Presidio, and has undergone many remodels. Simplicity and cleanliness are hallmarks of St. Anne’s. The interior is plain and neat with little clutter; light floods the spacious rooms and hallways, giving rise to an almost-spiritual feeling. The rooms are so clean that it seems safe to eat off the floors! An expansive lawn that surrounds the facility is interspersed with gardens and seating areas. The beautiful grotto behind the building with landscaped walking paths leads to depictions of the Stations of the Cross. The spacious chapel exudes serenity; it is a wonderful place for prayer and contemplation.
The staff is respectful and kind; their work seems to come from the heart. One staff member called St. Anne’s “a nice place to work,” and a resident named it “the best place I’ve ever lived.” It is not surprising that there is always a waiting list. Residents seem high-spirited and active; they enjoy and participate in many of the activities. During our visit, groups of residents could be seen here and there interacting and working on various projects. The management team has a long history at St. Anne’s and, as a result, has been able to create a stable, smooth-running environment.
Many volunteers assist with care of the residents as well as offer or participate in activities or field trips. Tai chi is a staple in the fitness program. Videos on a variety of topics are common. Walking and reading are popular pastimes, and, of course, there are regular religious services. Staff includes skilled nursing residents in the broader social activity programs so they interact with the more independent residents in the building. The quality of care is exceptionally high at St. Anne’s Home, which is evidenced by the happy faces we saw throughout our tour.
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 06/28/2007 Fire Safety Survey for St. Anne's Home
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Pattern | Potential for minimal harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Pattern | Potential for minimal harm |
- 06/21/2007 Health Survey for St. Anne's Home
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Keep all essential equipment working safely. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
- 05/31/2006 Fire Safety Survey for St. Anne's Home
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Pattern | Potential for minimal harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Pattern | Potential for minimal harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Pattern | Potential for minimal harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper medical gas storage and administration areas. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
- 05/19/2006 Health Survey for St. Anne's Home
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Minimal harm or potential for actual harm |
- 03/14/2005 Fire Safety Survey for St. Anne's Home
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Pattern | Potential for minimal harm |
| back-up procedures in place for a faulty automatic sprinkler system. | Pattern | Potential for minimal harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| approved construction type or materials. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| weekly inspections and monthly testing of generators. | Pattern | Potential for minimal harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved back-up procedure for a faulty fire alarm system. | Pattern | Potential for minimal harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Widespread | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
- 03/11/2005 Health Survey for St. Anne's Home
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Get services outside the nursing home that meet professional standards. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
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