St Marys Home For The Aged

Inspection findings

1. Dec 3, 2025 Health · 10 findings
   • Not serious Scope/severity D Complaint

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Jan 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Jan 3, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Jan 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jan 3, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 3, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Jan 3, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Feb 6, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jan 3, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jan 3, 2026 · CMS fire safety

2. Apr 30, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0637 Resident Assessment and Care Planning Deficiencies

     Assess the resident when there is a significant change in condition

     Corrected May 30, 2025 · CMS health inspection

3. Aug 14, 2024 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0031 Emergency Preparedness Deficiencies

     Provide emergency officials' contact information.

     Corrected Sep 11, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0032 Emergency Preparedness Deficiencies

     Provide primary/alternate means for communication.

     Corrected Sep 3, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Sep 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Sep 11, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Sep 11, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 17, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Sep 11, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0753 Miscellaneous Deficiencies

     Have restrictions on the use of highly flammable decorations.

     Corrected Sep 11, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Sep 30, 2024 · CMS fire safety

4. Jun 22, 2023 Health · 5 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Jul 22, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jul 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Jul 22, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BRUCKSCHEN, MEGAN — corporate director, NOT APPLICABLE, since 11/14/2022
• BRUCKSCHEN, MEGAN — w-2 managing employee, NOT APPLICABLE, since 11/14/2022
• CORBEIL, LINDSEY — w-2 managing employee, NOT APPLICABLE, since 08/13/2021
• CORBEIL, LINDSEY — corporate director, NOT APPLICABLE, since 08/13/2021
• DENOR, JEREMY — w-2 managing employee, NOT APPLICABLE, since 08/16/2021
• DENOR, JEREMY — corporate director, NOT APPLICABLE, since 08/16/2021
• DONLON, MARCIA — corporate director, NOT APPLICABLE, since 06/01/2021
• ETHERIDGE, MICHAEL — corporate director, NOT APPLICABLE, since 06/01/2016
• GOETZ, CAMERON — corporate director, NOT APPLICABLE, since 12/01/2019
• HILLMER, MICHAEL — corporate director, NOT APPLICABLE, since 03/06/2017
• HILLMER, MICHAEL — w-2 managing employee, NOT APPLICABLE, since 03/06/2017
• JACOBI, ROSELLE — w-2 managing employee, NOT APPLICABLE, since 01/09/2023
• JACOBI, ROSELLE — corporate director, NOT APPLICABLE, since 01/09/2023
• MAURER, MARY — corporate director, NOT APPLICABLE, since 08/01/2013
• MILLER, MICHAEL — w-2 managing employee, NOT APPLICABLE, since 11/13/2018
• MILLER, MICHAEL — corporate director, NOT APPLICABLE, since 11/13/2018
• OTTEN, SHANNON — corporate director, NOT APPLICABLE, since 02/06/2023
• OTTEN, SHANNON — corporate officer, NOT APPLICABLE, since 04/26/2023
• OTTEN, SHANNON — w-2 managing employee, NOT APPLICABLE, since 02/06/2023
• SAUER, MATTHEW — corporate director, NOT APPLICABLE, since 06/01/2012
• SCHUBERT, LUKE — corporate director, NOT APPLICABLE, since 09/01/2023
• SCHUBERT, LUKE — w-2 managing employee, NOT APPLICABLE, since 09/01/2023
• SIDHU, SARFRAZ — contracted managing employee, NOT APPLICABLE, since 01/01/2024
• SOLTYS, FRANK — corporate director, NOT APPLICABLE, since 12/02/2013
• SPIES, BARBARA — w-2 managing employee, NOT APPLICABLE, since 07/08/2023
• SPIES, BARBARA — corporate director, NOT APPLICABLE, since 07/08/2023
• SWETLIK, DENNIS — corporate director, NOT APPLICABLE, since 06/01/2018
• THOMPSON, RENEE — w-2 managing employee, NOT APPLICABLE, since 03/20/2023
• THOMPSON, RENEE — corporate director, NOT APPLICABLE, since 03/20/2023
• VEESER, THOMAS — corporate director, NOT APPLICABLE, since 02/01/2019
• WECH, DARCY — w-2 managing employee, NOT APPLICABLE, since 12/01/2016
• WECH, DARCY — corporate director, NOT APPLICABLE, since 12/01/2016
• FELICIAN SERVICES INC — 5% or greater direct ownership interest, 100%, since 11/09/2009
• FELICIAN SERVICES INC — 5% or greater mortgage interest, NOT APPLICABLE, since 06/30/2012