Marywood Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Marywood Nursing Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jan 26, 2021

  Based on observation, interview, and record review, the facility failed to properly prevent and/or contain COVID-19 (a severe and highly contagious respiratory infection) by allowing a staff member who screened positive for COVID-19 symptoms on 12/29/2020 (cough, shortness of breath, sore throat, headache) to work and provide direct patient care for a full shift on the B-Wing. The employee subsequently tested positive for COVID-19 on 12/30/2020. The facility has had 26 residents (#'s 500, 501, 502, 503, 504, 505, 506, 507, 508, 509, 510, 511, 512, 513, 514, 515, 516, 517, 518, 519, 520, 521, 522, 523, 524, 525) test positive for COVID-19 since 12/28/20. […]

• Actual harm, isolatedF689Jan 8, 2026

  This citation pertains to Intake 2706540Based on observation, interview, and record review the facility failed to serve hot liquids in a safe manner for one resident (R700) out of three reviewed for accidents, resulting in a second-degree burn blister. Findings include:A review of an incident investigation dated noted the following, IDT (Interdisciplinary Team) incident investigation. On 12/15/2025 resident spilled hot soup onto [their] lap. Nursing assessment was completed including skin assessment and pain assessment. No pain or injury at the time of the incident. Resident alert and orientated and continued to deny pain. Nursing assessment completed every shift with no redness or pain noted. […]

• No harm, potential for more than minimal, widespreadF812Sep 20, 2023

  Based on observation and interview the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting 88 residents who receive meal services. Findings include: On 9/19/2023 at 10:51 AM, the surveyor inquired with Registered Dietitian, staff G, if they could test the sanitizing solution of a wiping cloth bucket to verify its concentration to which they replied, yes. On 9/19/2023 at 10:52 AM, testing of the quaternary ammonium sanitizer concentration at the cooking station by staff G via a test strip revealed a concentration of zero. Upon observation staff G stated, that's strange. Let me check the 3-comparment sink. […]

• No harm, potential for more than minimal, widespreadF925Sep 20, 2023

  Based on observation, interview, and record review the facility failed to maintain an effective pest control program to ensure that the facility is free of pests resulting in an increased potential for contamination of food, both food and non-food contact surfaces, and foodborne illness potentially affecting staff, visitors and all 88 residents. Findings include: On 9/19/23 between 9:30 AM and 1:00 PM, numerous live flies were observed in the kitchen's dishwashing area, around the serving line, janitor's closet, dry storage room, food preparation tables, and in the clean equipment storage areas. On 9/19/23 at 9:43 AM, the surveyor inquired with Registered Dietitian, staff G, on the current state of the insects in the kitchen to which they replied, the flies are coming from our drains. […]

• No harm, potential for more than minimal, widespreadF880Jul 21, 2022

  Based on observation, interview, and record review, the facility failed to maintain appropriate infection control practices by 1) inappropriately storing drinks in/on medication carts, 2) failing to don full personal protective equipment (PPE) during terminal cleaning of a COVID-19 positive room, and 3) improperly storing an oxygen mask for one sampled resident (R232), resulting in the potential spread of contaminants and/or infection. Findings include: On 7/19/22 at 9:08 AM, the Director of Nursing (DON) indicated the facility currently had three COVID-19 positive residents in the building on the S unit. […]