Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Clair Nursing Center during CMS and state inspections, most recent first.
A resident with cognitive impairment, paralysis of all four limbs and torso, bilateral hand contractures, and dependence on staff for bed mobility and ADLs had a care plan requiring two-person assistance for all daily care, including bed mobility. During peri care and preparation to get the resident out of bed, an LPN left the room, and a CNA continued care alone, rolled the resident onto the side, and the resident slid off the bed and fell to the floor. The resident was found on the floor with severe left lower extremity pain and deformity and was later diagnosed at the hospital with a distal femur fracture adjacent to an orthopedic implant and a tendon tear fracture of the left patella.
Facility staff failed to safely propel residents in wheelchairs, leading to potential injury risks. A resident with severe cognitive impairment was propelled with their feet sliding on the floor, while another was pushed without foot pedals, causing them to lift their feet. Additionally, hazardous materials were not securely stored, with an unlocked medical supply room and an open shower room containing razors, posing risks to residents. Interviews with staff confirmed the importance of using foot pedals and securing hazardous materials.
Failure to Follow Two-Person Assist Care Plan Resulting in Resident Fall and Fractures
Penalty
Summary
Facility staff failed to ensure a resident’s environment was free from accident hazards and that adequate supervision was provided, resulting in a fall and injury. The resident’s quarterly MDS dated 02/17/26 documented cognitive impairment, impairment of both upper and lower extremities, dependence on staff for toileting, bathing, dressing, rolling in bed, and transfers, and a history of a fall with major injury since admission or prior assessment. The resident’s care plan, revised 02/18/26, documented diagnoses including severe weakness or total paralysis of one side of the body, weakness causing limited mobility, loss of balance, muscle fatigue, and difficulty grasping objects. The care plan further documented that the resident was at risk for falls due to inability to control his/her body and poor personal safety awareness, and required two staff assistance for daily care, including bed mobility, due to bilateral hand contractures and paralysis of all four limbs and the torso. On 02/08/26, nursing notes documented that at 3:05 P.M. a CNA notified an LPN that the resident had fallen from the bed to the floor. Staff documented the resident was found on the floor next to the bed on the left side, complaining of severe pain in the left lower extremity, with injury and deformity noted to that extremity. The facility’s investigation documented that the administrator was notified that the resident had fallen from the bed and was sent to the hospital for knee swelling and pain. The investigation further documented that the DON became aware that the CNA was alone in the resident’s room at the time of the fall, and that the nurse had exited the room while the CNA continued to provide care. Interviews clarified the sequence of events and staff actions leading to the fall. The administrator stated that the LPN and CNA were assisting with changing the resident’s adult brief when the LPN went into the hallway to the treatment cart, and the CNA continued care; the resident’s legs slid off the bed and the resident fell. The LPN reported that the resident required two staff for all care and had no side rails, and that after providing catheter care, the LPN stepped into the hallway to the medication cart without telling the CNA that he/she would return immediately; the CNA then reported the fall. The CNA stated that the resident required one staff for peri care and dressing and two staff for transfers, and that both he/she and the LPN had been in the room to provide treatments, peri care, and to get the resident out of bed. The CNA reported that after the LPN stepped into the hallway, the resident had a bowel movement, and the CNA began cleaning the resident and assisted the resident to roll onto the left side; the resident then began to slide off the left side of the bed, and despite the CNA’s attempt from the right side of the bed to prevent the fall, the resident fell to the floor. The CNA stated he/she knew the resident was a two-person assist for transfers but did not know it was two-person assist for all care. Hospital records from 02/08/26 documented diagnoses of a fracture near the end of the thigh bone adjacent to an orthopedic implant and a tendon tear fracture of the left kneecap.
Failure to Ensure Safe Wheelchair Propulsion and Secure Hazardous Materials
Penalty
Summary
Facility staff failed to safely propel three residents in wheelchairs, leading to potential injury risks. Resident #23, who has severe cognitive impairment and is wheelchair dependent, was observed being propelled by an unknown staff member with their feet sliding on the floor and their wrist rubbing against the wheelchair wheel. Resident #263, diagnosed with arthritis and Alzheimer's, was pushed in a wheelchair without foot pedals, causing the resident to lift their feet. Another staff member continued to push the resident without addressing the missing foot pedals. Resident #5, also with severe cognitive impairment and wheelchair dependency, was propelled by the Activity Director without foot pedals, resulting in the resident's feet sliding and bouncing off the floor. Interviews with staff, including the Activity Director, LPN, DON, and the administrator, confirmed the importance of using foot pedals to prevent injuries. Additionally, the facility failed to store hazardous materials securely, posing a risk to residents. The medical supply room on the 200 hall was found unlocked, with an unlocked cabinet containing hazardous cleaning solutions. The maintenance director admitted to not considering the risks of unlocked chemicals. Similarly, the 100 hallway shower room was observed with an open door and an unlocked cabinet containing disposable razors, with multiple residents passing by. Interviews with CNAs, LPN, DON, and the administrator highlighted the necessity of locking storage cabinets and shower rooms to prevent resident access to hazardous materials.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saint Clair
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Union Nursing | 5.5 mi | ★★★★★ | 15 | 0 |
| Sunset Health Care Center | 6.7 mi | ★★★★★ | 0 | 0 |
| Grandview Healthcare Center | 14.7 mi | ★★★★★ | 17 | 0 |
| Life Care Center Of Sullivan | 15.1 mi | ★★★★★ | 1 | 0 |
| Pacific Care Center | 15.2 mi | ★★★★★ | 21 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.