Canterbury Woods

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Jul 21, 2023

  Based on observations, interview and facility document review, the facility failed to ensure the director of dining services (DDS) comprehensively carried out the functions of the food and nutrition services when the DDS did not perform kitchen audits monthly as scheduled. This failure resulted lapses in the delivery of services associated with food safety and sanitation (cross-reference F812) which had the potential transmission of foodborne illness to 16 residents. Findings: During multiple observations at the facility's kitchen on ,d+[DATE] through [DATE], there were multiple issues identified with respect to the functions of food and nutrition services (cross-reference F812). 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2023

  Based on observation, interview, and facility document review, the facility failed to ensure food was stored, prepared, and served in accordance with professional standards for food safety when: 1. The condiments were opened but not labeled or dated, stored beyond used date, label about storage after opening was not followed and one condiment did not have the right cap to cover the bottle tightly; 2. The walk-in freezer's ceiling had ice buildup; 3. Dietary staff did not follow the proper use of hair restraints; 4. A water dispenser was not kept in a sanitary condition; 5. […]

• No harm, potential for more than minimal, patternF812Feb 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was stored and/or prepared under sanitary conditions when:A Kitchen Staff was not wearing hair restraint in the kitchen, andUnlabeled packs of bread were found in the food pantry.These failures had the potential to cause foodborne illnesses.Findings:1. During an initial kitchen tour observation and interview on 2/24/26 at 2:12 p.m. with the Executive Chef (EC), the EC verified a Dishwasher (DW) was walking around the kitchen without a hair restraint. The EC stated DW should have worn a hair net. Other staff present in the kitchen during the tour were all wearing a hairnet.A review of facility's policies and procedures (P&P) entitled Uniform Dress Code revised 1/2025, the P&P indicated. […]

• No harm, potential for more than minimal, patternF760Sep 13, 2024

  Based on observation, interview and record review, the facility failed to ensure, one of eight sampled residents (Resident 66), was free of significant medication error, when the physician order for the Lasix (a diuretic, used to reduce fluid retention) medication, of Resident 66 was not followed. This failure had the potential to affect the health and general well-being of the resident. Findings: During an observation and interview with Resident 66 on 9/9/24 at 12:35 p.m., Resident 66 was in her bed with the head of her bed elevated at 90 degrees. Resident 66 was eating her lunch. She verbalized that her Lasix medication was wrongly given last week. The nurses gave it to her three times per day instead of three times per week. […]

• No harm, potential for more than minimal, patternF813Sep 13, 2024

  Based on observation, interview and record review, the facility failed to ensure foods were stored in safe and sanitary manner when: 1. Resident foods and food brought by family or visitor stored in the refrigerator at the facility dining area, were readily accessible to all the residents and; 2. Expired food was kept in the cabinet at the facility dining area. These failures had the potential to access the expired food and the food brought by family or visitor in the refrigerator. Findings: 1. During an observation of the skilled nursing facility dining area on [DATE] at 3:27 p.m., there was a refrigerator for storage of resident foods. The refrigerator had the following unexpired food items: a. 41 small cups of juices; b. 8 cups of snack packs; c. 2 small cups of diced peaches; d. […]