Camdenton Windsor Estates

In the surveyor’s words

From the most serious findings on record at Camdenton Windsor Estates, in the surveyor’s own words.

• Actual harm, isolatedF883Mar 21, 2024

  Based on interview and record review, facility staff failed to document the administration of the pneumococcal (lung inflammation caused by bacteria or viral infection) vaccine for six out of eight sampled residents (Resident #8, #14, #21, #25, #33, and #38). The facility census was 44. 1. Review of the Center for Disease Control (CDC) guidelines, dated 03/15/23, showed the following: -People age 65 or older who have no pneumococcal vaccines should receive 20 valent pneumococcal conjugate vaccine (PCV20) or 15 valent pneumococcal conjugate vaccine (PCV15), and then one year later pneumococcal polysaccharide vaccine (PPSV23); -People age 19 through 64 who have no pneumococcal vaccines should receive PCV20 or PCV1, and then one year later PPSV23. […]

• No harm, potential for more than minimal, widespreadF804Mar 21, 2024

  Based on observation, interview and record review facility staff failed to ensure pureed food items were reheated to proper temperatures. Facility staff failed to follow puree recipes. Facility staff failed to ensure hot foods were held at 140 degrees Fahrenheit F or greater during meal service. Facility staff failed to ensure hot food on room trays for three residents (Residents #27, #25, and #105) of three sampled residents were maintained at 120 F at the time the food was delivered and to ensure employees who delivered food to the residents in the rooms knew what the appropriate temperature should be at the time of service. The facility census was 44. 1. Review of the facility's policy titled Food Temperatures, dated April 2011, showed staff shall ensure food is at least 120 F. […]

• No harm, potential for more than minimal, widespreadF880Mar 21, 2024

  Based on observation, interview and record review facility staff failed to develop and implement complete policies and procedures for the inspection, testing, and maintenance of the facility's water system to inhibit the growth of waterborne pathogens and reduce the risk of outbreak of Legionnaire's Disease (a serious type of lung disease caused by Legionella bacteria) (LD). Facility staff failed to perform proper hand hygiene for two (Resident #14, and #25) of two sampled residents. The facility census was 44. 1. Review of the Centers for Medicare and Medicaid Services (CMS) Survey and Certification (S&C) letter 17-30, dated 06/02/17 and revised on 06/09/17; showed: -The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. […]

• No harm, potential for more than minimal, widespreadF812Dec 2, 2022

  Based on observation, interview, and record review, the facility staff failed to properly store open food to prevent contamination and outdated use, to maintain kitchen equipment in a clean and sanitary manner, and to perform hand hygiene as often as necessary to prevent cross-contamination. The facility staff also failed to ensure the ice machine drained through an air gap and to maintain the tools necessary to properly test the dishwashing machine sanitizing solution. This had the potential to affect all residents. The census was 43. 1. Review of the facility's Safe Food Handling policy, dated 4/2011, showed all food, including bulk items, should be tightly sealed with an identifying label and date. […]

• No harm, potential for more than minimal, patternF658Apr 10, 2025

  Based on observation, interview, and record review, the facility staff failed to maintain professional standards of practice when staff failed to notify the physician and follow up with pharmacy when medications were unavailable for three (Resident #10, #12, and #201) out of three sampled residents. Facility staff failed to document the correct dose of medication for two (Resident #12 and #32) out of eight sampled residents. Staff failed to document the weight for one resident (Resident #40) weekly per physician orders. Staff failed to document weight and food intake for one resident (Resident #18) of one sampled resident with a history of significant weight loss. The facility census was 47. 1. […]