Pomperaug Woods Health Center

In the surveyor’s words

From the most serious findings on record at Pomperaug Woods Health Center, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 16, 2024

  Based on clinical record reviews, facility documentation, facility policy and interviews for 3 of 5 sampled residents (Resident #26, Resident #2 and Resident #10) reviewed for accidents, the facility failed to follow the plan of care resulting in a fall with major injury (Resident #26) and failed to ensure a transfer was provided according to physician order (Resident #2) and failed to implement interventions according to the plan of care resulting in falls (Resident #10). The findings include: 1. […]

• Actual harm, isolatedF689Sep 18, 2024

  Based on clinical record reviews, facility documentation, and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure the resident was transferred with the assistance of two staff in accordance with the Resident Care Plan and as a result, the resident was not positioned safely in the chair and when staff directed the resident to reposition him/herself, the resident slid out of the wheelchair and sustained a femur fracture. The finding includes: Resident #1's diagnoses included osteoarthritis, dementia and muscle weakness. […]

• No harm, potential for more than minimal, widespreadF802Apr 18, 2023

  Based on tour of the Dietary Department and staff interview, the facility failed to ensure adequate staffing to carry out the functions for cleaning the kitchen. Tour of the Dietary Department on 4/13/23 at 11:30 AM with the Food and Beverage Director identified the following: a. The cart to transport dirty dishes was noted with a heavy accumulation of dirt, dust, and grime on the handles, lower shelf, and sides and was located by the food area, just outside of the dishroom. b. The cart behind the vegetable prep sink was noted with an accumulation of dirt and grime. c. The back of the food prep area had visible dust accumulation. d. […]

• No harm, potential for more than minimal, widespreadF812Apr 18, 2023

  Based on tour of the Dietary Department and staff interview, the facility failed to ensure the kitchen and equipment was maintained in a sanitary manner. The findings include: Tour of the Dietary Department on [DATE] at 11:30 AM with the Food and Beverage Director identified the following: 1 a. The Dessert refrigerator was noted with a white, sticky substance splattered on the walls inside and lacked a thermometer on the inside or outside. The Food and Beverage Director stated there should have been a thermometer and could not locate it. b. A plastic bin that contained Panko breadcrumbs was noted to be half full and a label dated [DATE] was secured to the lid. […]

• No harm, potential for more than minimal, patternF812May 20, 2026

  Based on a tour of the Dietary Department, observations, review of facility policy and interviews, the facility failed to ensure stored food was labeled and dated when opened, expired food was discarded and failed to ensure dietary staff wore a beard guard when preparing food. The findings included: A tour of the Dietary Department on 5/18/26 at 7:10 AM with [NAME] #1 identified the following:1.The refrigerator was observed to have the following items:a. One large serving tray with a small amount of coleslaw covering the complete bottom of serving container not labeled or dated.b. One 5-quart container with 1 quart of apple sauce dated 5/11.c. One 6-quart container with 4 quarts of three bean salad not labeled or datedd. […]