Our Lady of Wisdom Community Care Center

In the surveyor’s words

From the most serious findings on record at Our Lady of Wisdom Community Care Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF882Jun 6, 2023

  Based on observation, interview and record review, the facility failed to ensure the Infection Preventionist established and maintained an effective infection prevention and control program to prevent the transmission of COVID-19 infections in the facility by: 1.)failing to ensure staff quarantined and tested a resident (Resident #3) upon symptom onset of COVID-19; 2.)failing to ensure staff quarantined a resident ( Resident #27) who tested positive for Covid-19;and 3.)failing to ensure staff used personal protective equipment (PPE) with COVID-19 positive residents (Resident #3 and Resident #27). This deficient practice resulted in an Immediate Jeopardy situation on 05/28/2023 at 11:30 a.m. […]

• Immediate jeopardy, patternF689Jun 6, 2023

  46683 Based on record review, observations, and interviews, the facility failed to provide supervision to prevent elopement for 2 (Resident #38 and Resident #71) of 4 (Resident #38, Resident #70, Resident #71, and Resident #83) sampled residents reviewed for elopement. This deficient practice resulted in an Immediate Jeopardy situation on 01/08/2023 at 4:40 p.m. when Resident #71, an unsupervised resident identified as an elopement risk, eloped from the facility and was found in the facility's parking lot by staff. The continued failure to provide adequate supervision resulted in the immediate jeopardy continuing on 02/16/2023 at 10:35 p.m. […]

• Immediate jeopardy, patternF835Jun 6, 2023

  Based on interviews, observation, and record review, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to have a system in place to prevent and control the transmission of COVID-19 infections in the facility and to provide supervision to residents to prevent elopement by: 1.)failing to ensure staff quarantined and tested a resident (Resident #3) upon symptom onset of COVID-19; 2.)failing to ensure staff quarantined a resident ( Resident #27) who tested positive for Covid-19; 3.)failing to ensure staff used personal protective equipment (PPE) with COVID-19 positive residents (Resident #3 and Resident #27);and 4.) failing to provide supervision to keep residents (Resident #38 and Resident #71) free from… […]

• Immediate jeopardy, patternF880Jun 6, 2023

  Based on record review, observation, and interview, the facility failed to take steps to prevent the transmission of COVID-19 by: 1.) failing to ensure staff quarantined and tested a resident (Resident #3) upon symptom onset of COVID-19; 2.) failing to ensure staff quarantined a resident ( Resident #27) who tested positive for Covid-19;and 3.) failing to ensure staff used personal protective equipment (PPE) with COVID-19 positive residents (Resident #3 and Resident #27). This deficient practice resulted in an Immediate Jeopardy situation on 05/28/2023 at 11:30 a.m. when Resident #3 who displayed symptoms of COVID-19 and was not quarantined or tested by the facility. […]

• No harm, potential for more than minimal, patternF812Jun 17, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure: 1. Kitchen A was maintained in a clean and sanitary manner; 2. The sanitization of dishware and three-compartment sinks were monitored and recorded; and, 3. Food temperatures were monitored and accurately recorded for Kitchen A, Mini-Kitchen X, Mini-Kitchen Y, and Mini-Kitchen Z. This deficient practice was identified for 4 (Kitchen A, Mini-Kitchen X, Mini-Kitchen Y, Mini-Kitchen Z) of 4 kitchens observed for food safety requirements. […]