Harry and Jeanette Weinberg Care Center

In the surveyor’s words

From the most serious findings on record at Harry and Jeanette Weinberg Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 3, 2023

  Based on observations and staff interviews, the facility failed to ensure food was stored and prepared in a safe and sanitary manner. As a result of this deficiency, residents are at risk for potential harm from the side effects of consuming spoiled and/or contaminated food(s). Finding include: On [DATE] at 08:57 AM, while conducting the initial inspection of the kitchen with Kitchen Staff (KS)1, observed two large containers, [NAME] (fermented cabbage) and Kewalo Brand Takuan (pickled daikon), with condensation on the outside of the container, on a cart, near a food preparation station. Kitchen staff near the prep area was not using or handling the [NAME] or takuan at the time the observation was made. […]

• No harm, potential for more than minimal, widespreadF880Feb 3, 2023

  Based on observation, interview with staff members, and record review, the facility failed to ensure infection control practices were implemented to help prevent the development and transmission of communicable diseases and infections. Reusable medical equipment was not sanitized between use for multiple residents; Oxygen tubing and humidifier was not labeled with a date or time implemented; Oxygen tubing was in direct contact with the ground; Personal protective equipment (PPE) used in infection precaution room(s) were not properly discarded; PPEs were not used according to professional standards of use; Transmission-based precautions were not implemented in accordance with facility practices; and linens/laundry were not properly handled to prevent the spread of infection/communicable… […]

• No harm, potential for more than minimal, widespreadF812Feb 18, 2022

  Based on observations, interviews and review of the facility's policy and procedures, the facility did not assure food was stored in accordance with professional standards for food service safety. This deficient practice has the potential to result in contamination of food served to residents in the facility. Findings include: During an initial tour of the kitchen with the Line Cook (LC) on [DATE] at 07:45 AM, observed scoopers were stored in the flour and rice. The LC confirmed the scoopers are not to be stored in the flour and rice bins. At 08:05 AM, the Executive Chef (EC) continued the initial tour. Observations with the EC found bowls of salads that were not labeled with preparation date. EC stated stated the salads were made yesterday. […]

• No harm, potential for more than minimal, widespreadF880Feb 18, 2022

  Based on observations, interviews with staff members and review of the facility's infection control policy, procedures, and protocols, the facility failed to ensure appropriate protective and preventive measures for COVID-19 and other communicable diseases and infections were implemented. The facility failed to: 1) Ensure staff members followed the facility's protocol for the use of personal protective equipment (PPE), hand sanitizing, and sanitizing of face shields while providing care to residents on transmission-based precautions (infection control precautions in health care settings applied for residents who are known or suspected to be infected or colonized with infectious agents, requiring additional control measures to effectively prevent transmission); 2) Ensure staff members… […]

• No harm, potential for more than minimal, patternF656Feb 3, 2023

  Based on observation, interviews, record review and review of policy, the facility 1) failed to ensure comprehensive person-center care plans were developed/ implemented for each resident that includes measurable objectives, timeframes to meet a resident's medical, nursing, mental, and psychosocial needs, 2) failed to develop a comprehensive person-centered care plan to include interventions for Resident (R) 25's psychosocial wellbeing when expressing she wants to die and while on Transmission Based Precautions (TBP), 3) failed to develop and implement a specified care plan to monitor for the possibility of bleeding as a result of taking Plavix medication for one resident (R)81 out of four residents reviewed. […]