Life Care Center of Waynesville

In the surveyor’s words

From the most serious findings on record at Life Care Center of Waynesville, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 17, 2025

  Based on observation, interview, and record review, facility staff failed to identify and prevent the development of a new pressure injury for one resident (Resident #8) when they failed to follow the care plan, complete assessments as directed by facility policy, and notify the physician to obtain orders for treatment. Facility staff failed to implement interventions and assess and monitor a pressure injury for one resident (Resident #2) of 20 sampled residents. The facility census was 82. 1. […]

• No harm, potential for more than minimal, widespreadF812Mar 17, 2025

  Based on observation, interview and record review, the facility staff failed to thaw frozen meat in a manner to prevent the growth of food-borne pathogens. Facility staff also failed to allow sanitized dishes to air dry prior to stacking in storage to prevent the growth of food-borne pathogens. These failures have the potential to affect all residents. The facility census was 82. 1. Review of the facility's Safe Food Handling policy, revised 04/26/23, showed Frozen food is thawed under refrigeration or in the cooking process. Thawing some foods at room temperature may not be acceptable because it may be within the danger zone for rapid bacterial proliferation. Recommended methods to safely thaw frozen foods include: a. […]

• No harm, potential for more than minimal, widespreadF812Feb 1, 2024

  Based on observation, interview and record review, facility staff failed to maintain kitchen equipment and surfaces in a clean sanitary manner to prevent the potential for cross-contamination. Facility staff failed to perform hand hygiene as often as necessary, using approved techniques, to prevent cross-contamination. Facility staff failed to sanitize kitchen wares in a manner to prevent contamination, and to store dishwares in a manner to prevent cross-contamination when staff stacked dishwares together wet. Facility staff failed to ensure trash can remained covered when not in use to prevent the potential for food contamination. The facility census was 69. 1. […]

• No harm, potential for more than minimal, patternF584Mar 17, 2025

  Based on observation, interview and record review, facility staff failed to provide a comfortable and homelike environment for residents when staff failed to maintain walls, floors, doors, and door frames. The facility staff failed to maintain the armrest on a wheelchair for one resident (Resident #35) out of 20 sampled residents. The facility census was 82. 1. Review of facility's policy titled Housekeeping - General Policy, dated 06/12/2024, directed staff as follows: -It is the responsibility of the Executive Director through the Environmental Services Director to assure Housekeeping Policies are implemented and followed; -Equipment must be ready for use at all times of the day and night to serve the residents' needs; -Care should be exercised in the handling and in the use of all… […]

• No harm, potential for more than minimal, patternF657Mar 17, 2025

  Based on observation, interview, and record review, facility staff failed to review and revise the care plan for Activities of Daily Living (ADLs) needs for four residents (Residents #41, #51, #54, and #60 ) and failed to review and revise the care plan with changes in the resident needs for three residents oxygen use (Resident #26, #44, and #58) out of 20 sampled residents. The facility census was 82. 1. Review of the facility policy titled Comprehensive Care Plans and Revisions, dated 09/11/24, showed staff were directed as follows: -The facility will ensure the timeliness of each resident's person-centered, comprehensive care plan, and to ensure that the comprehensive care plan is reviewed and revised by an interdisciplinary team; -A comprehensive care plan must be developed within… […]