Marshfield Care Center for Rehab and Healthcare

In the surveyor’s words

From the most serious findings on record at Marshfield Care Center for Rehab and Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF686May 16, 2025

  Based on interview and record review, the facility failed to provide care per professional standards related to pressure ulcers (refers to localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) for all residents when staff failed to provide wound care per physician orders, failed to update wound care orders, failed to complete full and timely assessments and monitoring of all wounds, and failed to care plan related to wounds for one resident (Resident #1) resulting in deterioration of two wounds and infection of one wound. […]

• No harm, potential for more than minimal, widespreadF801May 7, 2026

  Based on interview and record review, the facility staff failed to employ a qualified dietary manager for food and nutrition services with accredited education in food service management. The facility census was 51.Review of the facility's policy titled, Mandatory Training and Education Requirements, revised 09/2024, showed the following: -Purpose to ensure that all employees are adequately trained and educated to provide high-quality care while maintaining a safe environment for residents, visitors, and staff. This policy outlines the mandatory training and education requirements for employees, focusing on compliance with federal, state, and local regulations;-Job-specific training: Dietary staff: safe food handling, special dietary needs. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards of practice and protect food from possible contamination at all times when dented cans were stored with other food items in the dry food storage area; when food was properly store food and stored per manufacture guidelines; when food was not properly sealed; when food was not dated and labeled; when spoiled food was not removed and disposed of; when staff failed to follow proper handwashing during food service, and when staff failed to properly sanitize the thermometer between food items. […]

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

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards that protected food from possible contamination at all times when staff failed to ensure condiments kept in the serve-out refrigerator were not expired and when staff failed to ensure non-food contact surfaces were clean and maintained in good repair. The facility census was 48. Review showed the facility did not have a policy regarding cleaning the kitchen and/or serving station. […]

• No harm, potential for more than minimal, widespreadF812Aug 1, 2024

  Based on observation, record review, and interview, the facility failed to keep food safe from potential contamination when staff stacked clean dishware inside one another instead of air drying, which could potentially contaminate food served from those items, when staff failed to keep dented cans separate from other canned goods, and when staff did not wear appropriate hair net correctly. The facility census was 51. 1. Review of the 2022 Food Code, issued by the Food and Drug Administration (FDA), showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food; -Items must be allowed to drain and to air-dry before being stacked or stored. […]