Kenwood Terrace Healthcare Center

In the surveyor’s words

From the most serious findings on record at Kenwood Terrace Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure food was stored in a safe manner and failed to ensure kitchen equipment was kept in a clean and sanitary manner. This had the potential to affect all 82 residents residing in the facility. The facility census was 82. Findings include: Observation on 02/10/25 at 6:45 P.M. of the facility kitchen revealed the walk-in refrigerator contained marinara sauce and two whipped toppings without expiration dates. The freezer had opened cauliflower without an expiration date. Observation of the pantry revealed open raisin bran, toasted oats, marshmallows, and cornbread without an expiration date. […]

• No harm, potential for more than minimal, widespreadF812May 3, 2022

  Based on observation, staff interview, and review of the facility's policy, the facility failed to maintain a sanitary kitchen and acceptable food storage practices. This had the potential to affect 67 residents who received food from the kitchen. The facility census was 68. Findings include: Tour of kitchen on [DATE] at 6:35 P.M. revealed in the walk-in refrigerator, there was meat in a container, and vegetables in a container unlabeled and dated [DATE]. There were tomatoes in a box with gray furry substance with the box dated [DATE]. In the walk-in refrigerator and in the under counter refrigerator, there were nine unopened and one open half gallon carton of lactose free milk with expiration date of [DATE]. […]

• No harm, potential for more than minimal, patternF921Jun 20, 2025

  Based on observation, interviews, and review of facility water temperatures, the facility failed to maintain a comfortable hot water supply to ensure a comfortable environment. This affected four (#33, #34, #43 and #52) out of four residents review for hot water temperatures and had the potential to affect 59 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #37, #38, #39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, #55, #56, #57, #58 and #59) residents residing on the 100, 200, 300, 400, 500 and part of the 600 hallway. […]

• No harm, potential for more than minimal, patternF812Feb 17, 2023

  Based on observation, record review and staff interview, the facility failed to ensure resident food items were stored in a manner to prevent the spread of food borne illness. This affected 28 (#37, #38, #39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, #55, #56, #58, #59, #60, #61, #63, #64, #65, #66) residents that resided on the D wing of the facility. The facility census was 71. Findings include: Observation of the D wing nourishment refrigerator on [DATE] at 9:00 A.M. revealed the temperature of the refrigerator to be 42 degrees Fahrenheit (F). There was a large brown spill in the bottom of the refrigerator. […]

• No harm, potential for more than minimal, patternF584May 3, 2022

  Based on observations, and resident and staff interviews, the facility failed to provide a safe, clean comfortable and homelike environment. This affected four (Residents #2, #12, #21, and #52) of 18 residents reviewed for a homelike environment. The facility census was 68. Findings include: Interview and observation on 04/25/22 at 7:29 P.M. with Resident #2 reported there was a dark brown/black mold looking substance at the bottom of her toilet on the floor and her closet door was broken. Observations revealed Resident #2's closet door was broken and the bottom of the toilet had black looking substance around the base of toilet. Resident #2 stated the closet door and has been in disrepair for a long time. Interview and observations on 04/25/22 at 7:40 P.M. […]