Port Washington Post Acute

In the surveyor’s words

From the most serious findings on record at Port Washington Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 13, 2021

  Based on observation, interview and record review, the facility failed to operationalize all components of the infection prevention and control program to maintain a safe and sanitary environment and to prevent transmission and control the spread of COVID, a highly transmissible infectious disease caused by the the [MEDICAL CONDITION]. There were multiple breaches in the infection prevention and control program which included: 1. did not fit test N95 masks (evaluate the seal of the N95, a mask designated for specific use in the prevention or transmission of respiratory infections); 2. did not consistently utilize Personal Protective Equipment (PPE, equipment designed to protect the wearer from injury or the spread of infection or illness, i.e. […]

• Immediate jeopardy, isolatedF803Jun 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure menus were followed and modified diet textures were prepared in accordance with established guidelines and physicians' orders for 2 of 2 residents (Residents 35 & 125) reviewed for diet textures who were at serious risk for aspiration (inhalation of foods/fluids into the lungs), pneumonia, and choking. The facility's lack of an effective system to ensure residents at risk received the correct food texture represented a potential serious outcome including death and constituted an Immediate Jeopardy (IJ). […]

• Actual harm, isolatedF689May 7, 2026

  Based on interview and record review, the facility failed to ensure staff were adequately trained on newly implemented wander guard/elopement alarm system resulting in staff failing to recognize and respond timely to resident elopement alarms for resident assessed as at risk for wandering/elopement for 1 of 3 residents (Resident 1) reviewed for elopement. Resident 1 experienced harm when the resident exited the facility unsupervised in their wheelchair and then rolled down a hill, fell, and required emergency transport to the hospital where they were diagnosed with multiple facial fractures. This failure placed residents at risk of elopement, injury and a diminished quality of life. Findings included.Resident 1 was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF684Nov 10, 2025

  .Based on interview and record review, the facility failed to assess and monitor identified wound(s), perform ordered treatment(s), identify risk factors for skin breakdown, develop and implement interventions, and ensure routine skin check were conducted for 1 of 2 residents (Resident 8) reviewed for non-pressure skin conditions. Resident 8 experienced harm when their abdominal wound increased in size/worsened. These failures placed other residents that required would care at risk for altered wound healing, avoidable wound decline, delayed identification and treatment of newly developed wounds, pain, infection and a diminished quality of life. Findings included. Resident 8 was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF686Feb 27, 2024

  Based on observation, interview, and record review, the facility failed to provide necessary care and services to treat and prevent worsening or development of a pressure ulcer (injury to skin and underlying tissue resulting from prolonged pressure) for 4 of 6 sampled residents (Resident 1, 2, 3 and 4), reviewed for pressure ulcers. Resident 1 experienced harm when they had deterioration of a pressure ulcer to the right buttock that required surgical treatment and the development of three additional pressure ulcers. These failures placed residents at risk for pressure ulcer development, deterioration of existing pressure ulcers, pain, and a decreased quality of life. […]