Avenue at Wooster

In the surveyor’s words

From the most serious findings on record at Avenue at Wooster, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 22, 2024

  Based on observation, open and closed medical record review, resident, staff and Wound Care Certified Nurse Practitioner (WCCNP) interviews and review of facility policies, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention and treatment program to ensure residents' skin impairments were assessed, physician notification was made for treatment orders and treatment was initiated timely. Actual Harm occurred on 09/29/24 to Resident #54, who was at risk for developing pressure ulcers, when the facility identified the resident had impaired skin upon readmission from the hospital but failed to assess and describe the wound, failed to notify the physician for treatment orders and further failed to initiate any treatments until 10/11/24. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation, interview, and review of the facility policy and procedures, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner and failed to ensure food was stored properly. This had the potential to affect all residents living at the facility. The facility census 81. Findings include: Observations on 03/17/25 from 8:25 A.M. to 8:35 A.M. during the tour of the kitchen with [NAME] #218 revealed the top of oven and steamer were covered with crumbs and debris. The grill had a missing panel that covered the front right side of the front grill. The panel was stored behind the grill. The [NAME] had large clumps of crumbs floating in the grease. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2024

  Based on observation, interview with staff, and review of facility policy, the facility failed to ensure the kitchen staff wore beard nets and hair nets appropriately to prevent contamination of food. This affected all 76 residents in the facility who ate meals from the kitchen except Resident #37 who the facility identified as receiving nothing by mouth (NPO). The facility census was 77. Findings included: Observation during meal preparation on 03/12/24 at 10:40 A.M. revealed Cook #400 and Dietary Aide (DA) #401 were not wearing a beard net on their beard while preparing food. Also, Dietary Aide #402 did not have her front bangs under her hair net while preparing drinks. On 03/12/24 at 11:00 A.M. […]

• No harm, potential for more than minimal, widespreadF804Dec 27, 2022

  Based on observation and interview, the facility failed to ensure meals were palatable and served at an appetizing temperature. This finding had the potential to affect 77 residents who received meals from the kitchen. The facility census was 77. Findings include: 1. Interviews on 12/19/22 at 9:19 A.M. with Resident #26; 12/19/22 at 9:35 A.M. with Resident #39; 12/19/22 at 9:47 A.M. with Resident #43; 12/19/22 at 10:12 A.M. with Resident #46; 12/19/22 at 10:25 A.M. with Resident #32; 12/19/22 at 11:35 A.M. with Resident #27; 12/19/22 at 2:16 P.M. with Resident #36; 12/20/22 at 8:58 A.M. with Resident #5; and on 12/20/22 at 9:15 A.M. with Resident #8 voiced concerns with cold food or the palpability of the meals. A test tray was conducted on 12/19/22 at 11:56 A.M. […]

• No harm, potential for more than minimal, widespreadF880Dec 27, 2022

  Based on observation, record review, interview, and facility policy review the facility failed to ensure staff donned the appropriate personal protective equipment (PPE) when testing residents and staff for COVID-19 and failed to ensure staff completed appropriate hand-hygiene when exiting resident rooms who were placed on contact isolation precautions. This finding affected Resident #66 and had the potential to affect all other residents and staff who entered the facility. The facility census was 77. Findings include: 1. Review of Resident #184's medical records revealed an admitted [DATE]. […]