Elk River Health & Nursing Center of Winchester

In the surveyor’s words

From the most serious findings on record at Elk River Health & Nursing Center of Winchester, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 3, 2024

  Based on facility policy review, observation, and interview, the facility failed to ensure food items were sealed properly and the facility failed to ensure the kitchen was maintained in a good-working and sanitary order, which had the potential to affect 57 of 58 residents. The findings include: Review of the facility's undated policy titled, [NAME] Kitchen Sanitization Policy, showed .All kitchen areas shall be kept clean .regular cleaning of kitchen and dining areas .maintain cleanliness throughout their work areas . Review of the facility's policy titled, Food Receiving and Storage, dated 10/2017, showed .Other opened containers must be dated and sealed or covered during storage . […]

• No harm, potential for more than minimal, isolatedF609Jul 30, 2025

  Based on facility policy review, medical record review, facility investigation documentation review, and interviews, staff failed to report an allegation of resident-to-resident abuse to administration for 1 resident (Resident #13) of 4 residents reviewed for abuse. The findings include:Review of the facility's policy titled, Abuse & Neglect Prohibition, revised 11/2017, revealed .The facility will report all allegations and substantiated occurrences of abuse .to the administrator .not later than 24 hours after being notified of the allegation .Review of the facility's policy titled, Abuse Prevention Policy & Procedure, revised 5/2023, revealed .If a resident-to-resident incident occurs .Notify the Director of Nursing and the Administrator immediately .Notify the physician and… […]

• No harm, potential for more than minimal, isolatedF641Jul 30, 2025

  Based on facility policy review, Resident Assessment Instrument (RAI) Manual 3.0 review, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #48) of 24 residents reviewed.The findings include:Review of the facility's policy titled, MDS Completion and Submission Timeframes, revised 7/2017, revealed .Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes .The Assessment Coordinator or designee is responsible for ensuring that resident assessments are submitted .in accordance with current federal and state guidelines .Review of the RAI Manual 3.0 dated 10/2024 revealed .Feeding Tubes .focuses on the long-term .use of feeding tubes… […]

• No harm, potential for more than minimal, isolatedF657Jul 30, 2025

  Based on facility policy review, medical record review, observation, and interview, the facility failed to revise the comprehensive care plan for 1 resident (Resident #3) of 16 residents reviewed for care plans. The findings include:Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised 12/2016, revealed .A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident .Identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident .Assessments of residents are ongoing and care plans are revised as information about the residents and the residents'… […]

• No harm, potential for more than minimal, isolatedF656Apr 3, 2024

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to implement a comprehensive person-centered care plan related to falls for 1 resident (Resident #19) and adaptive eating utensils for 1 resident (Resident #46) of 15 residents reviewed for comprehensive care plans. The findings include: Review of the facility policy titled, Care Plans, Comprehensive Person-Centered, revised 12/2016, showed . A comprehensive, person-centered care plan that includes measurable objectives and time tables to meet the resident's .needs is .implemented for each resident .The comprehensive person-centered care plan will .describe the services that are to be furnished to attain or maintain the resident's highest practicable .well-being . […]