Complete Care at Linwood, LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Linwood, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 19, 2026

  Based on observation, interview, and policy review, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 02/12/2025 from 09:12 AM until 10:20 AM, the surveyor observed the following in the kitchen in the presence of the Regional Food Service Director (RFSD):1. In the dry storage closet an open bag of gelatin mix wrapped in plastic wrap and an opened bag of potato chips had no labeled open or used by date. The RFSD acknowledged it should be dated, and the items were removed. 2. The high-temperature dishwasher is set to operate between 150 F and 180 F, the final rinse temperature should be 180 F. […]

• No harm, potential for more than minimal, widespreadF814Feb 19, 2026

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the garbage container area free of garbage and debris and failed to have a closed cover over the opening of 1 of 3 garbage containers. This deficient practice was evidenced by:On 02/12/2026 at 10:11 AM, the surveyor, accompanied by the Regional Food Service director (RFSD), observed the facility's outdoor trash disposal area. The surveyor observed three garbage containers (GC) situated at the rear of the property. One of the GCs had an open lid and contained trash which was exposed to the elements, and another GC observed overflowing with refuse. […]

• No harm, potential for more than minimal, widespreadF812Oct 9, 2024

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to: a) properly label and date food products stored in a refrigerator, spice rack, and meat freezer; b) properly discard food products on or before the expiration date; and c) properly store food products in a manner without covers. The deficient practice was evidenced by the following: On [DATE] from 9:47 AM to 10:48 AM, the surveyor, accompanied by the Dietary Director (DD) and later at 10:47 AM joined by the Regional Dietary Director (RDD), observed the following: 1.) Next to the preparation table near the sink, the surveyor observed breadcrumbs inside a clear container labeled flour and not labeled with an open and use by date. […]

• No harm, potential for more than minimal, widespreadF801May 19, 2023

  Based on interview and facility job description review, the facility failed to employ either a full time Registered Dietitian (RD) or a qualified Dietary Manager (DM) to carry out the functions of the food and nutrition service since March 2023. This failure had the potential to affect 115 residents who received food from the kitchen. Findings include: During an interview on 05/16/23 at 9:35 AM, the DM stated she had been employed as the facility's DM since March 2023. The DM confirmed that she recently completed the Serv Safe course but was not a Certified Dietary Manager (CDM). The DM stated the facility's Registered Dietitian (RD) was employed on a consultant basis and usually visited the facility once or twice per week. […]

• No harm, potential for more than minimal, patternF550Feb 19, 2026

  Based on observation, interview, record review and facility provided documentation, the facility failed to ensure residents were treated with dignity and respect during A.) incontinence care for 1 of 2 (Resident # 10) and B.) 3 of 3 dining rooms observed during the Dining Task.This deficient practice was evidenced by the following:A) During initial tour on 02/12/2026 at 9:23 AM, the surveyor observed Resident #10 in bed wearing two incontinence briefs. During an interview at the same time with the surveyor, the certified nurse's assistant (CNA) #1 said that they are not supposed to be wearing two incontinence brief. CNA # 1 said that the overnight staff are responsible. […]