St Catherine Center

Penalties

• Apr 30, 2026 — Fine ($13,065)

Inspection findings

1. Apr 30, 2026 Health · 5 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

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

     Corrected May 25, 2026 · CMS health inspection

   • Serious Scope/severity G

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected May 25, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected May 25, 2026 · CMS health inspection

   • Not serious Scope/severity E

     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 May 25, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 6, 2026 · CMS fire safety

2. Dec 9, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Dec 10, 2025 · CMS health inspection

3. Feb 26, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     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 Mar 18, 2025 · CMS health inspection

   • 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 Mar 18, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Mar 18, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 18, 2025 · CMS fire safety

4. Sep 10, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Sep 25, 2024 · CMS health inspection

5. Jan 25, 2024 Fire Safety · 11 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Jan 25, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Feb 16, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Feb 16, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 16, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0132 Construction Deficiencies

     Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

     Corrected Mar 8, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected Mar 8, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Mar 8, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jan 29, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jan 25, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Mar 8, 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 Feb 21, 2024 · CMS fire safety

6. Nov 16, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Dec 6, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BREEDLOVE, RYAN — corporate director, NOT APPLICABLE, since 01/01/2024
• BREEDLOVE, RYAN — adp of the snf, NOT APPLICABLE, since 01/01/2024
• LEFCO, AMY — operational/managerial control, NOT APPLICABLE, since 02/17/2025
• LEFCO, AMY — adp of the snf, NOT APPLICABLE, since 02/17/2025
• MUSGRAVE, LISA — adp of the snf, NOT APPLICABLE, since 01/01/2024
• MUSGRAVE, LISA — corporate director, NOT APPLICABLE, since 01/01/2024
• PIETSCH, DARRELL — operational/managerial control, NOT APPLICABLE, since 08/01/2017
• PIETSCH, DARRELL — adp of the snf, NOT APPLICABLE, since 08/01/2017
• SHADBOLT, ERIN — adp of the snf, NOT APPLICABLE, since 01/01/2024
• SHADBOLT, ERIN — corporate officer, NOT APPLICABLE, since 02/28/2023
• SMOOT, KENNETH — corporate director, NOT APPLICABLE, since 01/01/2024
• SMOOT, KENNETH — adp of the snf, NOT APPLICABLE, since 01/01/2024
• ASCENSION HEALTH SENIOR CARE — adp of the snf, NOT APPLICABLE, since 07/01/2015
• ASCENSION HEALTH SENIOR CARE — 5% or greater direct ownership interest, 100%, since 07/01/2014
• HEALTH DIMENSIONS CONSULTING INC — adp of the snf, NOT APPLICABLE, since 08/02/2019
• MEDICAL SOLUTIONS LLC — adp of the snf, NOT APPLICABLE, since 06/14/2017