Elderwood at Liverpool

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF565Feb 10, 2026

  Based on interviews and record review during the recertification survey, the facility did not ensure that views, grievances, or recommendations voiced by residents during Resident Council group meetings were considered, acted upon, and responded to with a rationale for nine (9) of nine (9) anonymous residents present at the resident group meeting and one additional resident interviewed (Resident #17). Specifically, nine (9) anonymous residents at the resident group meeting and one additional resident interviewed (Resident #17) stated they did not receive responses to topics or concerns addressed in prior Resident Council meetings. […]

• No harm, potential for more than minimal, patternF584Feb 10, 2026

  Based on observations, record review, and interviews during the recertification survey, the facility failed to ensure a safe, clean, comfortable, and homelike environment for one (1) of three (3) resident floors (Second floor) reviewed. Specifically, the Second floor hallway carpet was unclean with stains and dirt debris; room [ROOM NUMBER] smelled of urine; and room [ROOM NUMBER] D's bathroom had a broken light bulb. Findings include: The facility policy Building and Equipment Repairs Reporting, revised 02/02/2018, documented all personnel were informed about responsibilities for reporting malfunctioning equipment, damage to facility structure, or furniture or other items that needed repair. […]

• No harm, potential for more than minimal, patternF812Feb 10, 2026

  Based on observations and interviews during the recertification survey, the facility failed to follow proper sanitation practices to prevent outbreak of illness in one (1) of one (1) main kitchen. Specifically, expired sanitizer testing strips were used to test sanitizer strength in the three-bay sink; and a cloth was used to dry dishes and silverware as they came out of the dish machine. Findings include:The facility policy Dishwashing, Drying, Proper Storage, revised 04/26/2019, documented soiled dishes, trays, glassware, and silverware would be washed and sanitized in the dish machine. The items would then be air-dried on the clean area counters of dish room and never dried with a cloth. […]

• No harm, potential for more than minimal, patternF812Feb 27, 2024

  Based on observation, record review, and interview during the recertification survey conducted [DATE]-[DATE], the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in 2 of 3 food preparation and storage areas (the main kitchen and the third floor kitchenette). Specifically, the walls and ceiling in the main kitchen dish machine area were unclean, the walls behind the three bay sink were unclean and there was expired and undated food in the main kitchen dry food storage room and the third floor kitchenette. […]

• No harm, potential for more than minimal, patternF880Feb 27, 2024

  Based on observation, record review, and interviews during the recertification survey conducted 2/21/2024 - 2/27/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident #82) reviewed and for the facility's Legionella (a bacteria that can cause Legionnaires' disease) water management program. Specifically, staff did not wear required personal protective equipment or take off personal protective equipment appropriately when caring for Resident #82 who was on transmission-based precautions. […]