Goodwin House Alexandria

In the surveyor’s words

From the most serious findings on record at Goodwin House Alexandria, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Apr 5, 2023

  Based on observation, staff interview and facility document review, the facility staff failed to maintain the dumpster area in a clean and sanitary manner for one of one dumpster. The findings include: The facility staff failed to maintain the dumpster area in a clean and sanitary manner. Trash and debris were observed on the ground around the dumpster. On 4/4/23 at 9:45 a.m., observation of the dumpster was conducted with OSM (other staff member) #2, the registered dietitian, and OSM #4, a cook. Trash and debris (including four gloves that were folded inside out, saran wrap, paper debris, an empty specimen cup, a plastic drink cup and a plastic drink cup lid) were observed on the ground around the dumpster. […]

• No harm, potential for more than minimal, patternF656Apr 5, 2023

  Based on staff interview, facility document review and clinical record review, the facility staff failed to implement the comprehensive care plan for two of 26 residents in the survey sample, Residents #56 and #28. The findings include: 1. For Resident #56 (R56), the facility staff failed to implement the resident's comprehensive care plan for psychotropic drug use monitoring. R56's comprehensive care plan dated 9/27/22 documented, Psychotropic Drug Use .observe for side effects . A review of R56's clinical record revealed a physician's order dated 11/3/22 for quetiapine (1) 50 mg (milligrams) twice daily. A review of R56's MARs (medication administration records) for January 2023 through April 2023 revealed the resident was administered quetiapine 50 mg twice daily 1/1/23 through 4/2/23. […]

• No harm, potential for more than minimal, patternF758Apr 5, 2023

  Based on staff interview, facility document review and clinical record review, the facility staff failed to ensure residents were free from unnecessary psychotropic medications for two of 26 residents in the survey sample, Residents #56 and #28. The findings include: 1. For Resident #56 (R56), the facility staff failed to monitor the resident for side effects from the antipsychotic medication quetiapine (1). A review of R56's clinical record revealed a physician's order dated 11/3/22 for quetiapine 50 mg (milligrams) twice daily. A review of R56's MARs (medication administration records) for January 2023 through April 2023 revealed the resident was administered quetiapine 50 mg twice daily (1/1/23 through 4/2/23). […]

• No harm, potential for more than minimal, patternF812Oct 14, 2021

  Based on observation, staff interview, and facility document review it was determined facility staff failed Store, food in accordance with professional standards for food service safety in one of eight kitchens observed, [NAME] small house kitchen. The facility failed to dispose of plain Greek yogurt with a best by date of [DATE] and honey mustard dressing with a use by date of [DATE] located on the [NAME] small house kitchen. The findings include: On [DATE] at approximately 1:30 p.m., an observation was made of the [NAME] small house kitchen in the facility. Observation of the French door refrigerator located in the kitchen area revealed an unopened 32 ounce container of plain Greek yogurt. The container was observed to have the manufacturers date documenting Best by 19 [DATE]. […]

• No harm, potential for more than minimal, isolatedF812Apr 5, 2023

  Based on observation, staff interview and facility document review, the facility staff failed to ensure food items available for use were used or discarded prior to the best when used by date, in one of eight small house kitchens, the occoquan kitchen. The findings include: The facility staff failed to store mayonnaise in a safe manner. Five (12 ounce) bottles of unopened mayonnaise with a manufacturer's best when used by date of [DATE] were observed in the occoquan kitchen pantry. On [DATE] at 12:12 p.m., observation of the occoquan kitchen was conducted. […]