Senior Care Health & Rehabilitation Center - Wichi

In the surveyor’s words

From the most serious findings on record at Senior Care Health & Rehabilitation Center - Wichi, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 22, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that:1. The low temperature dish machine was operated without the chlorine sanitizer level being checked prior to washing the breakfast dishes on 4/19/2026. When the chlorine sanitizer level was checked by Dietary Aide B, the chlorine sanitizer test strip did not react, indicating there was no chlorine sanitizer content present. 2. Bulk storage bins used to store panko, flour, granulated sugar, and food thickener had exterior top surfaces of the storage bin lids that were lightly soiled with grease. A plastic scoop was inside the bin containing granulated sugar.3. […]

• No harm, potential for more than minimal, patternF755Feb 13, 2025

  Based on observations, interviews, and record review, the facility failed to provide pharmaceutical services that determines that drug records were in order and that an account of all controlled drugs are maintained and periodically reconciled for 5 of 65 residents (Resident #8, 32, 36, 93, and 383), reviewed for pharmacy services. The facility failed to accurately and timely complete documentation of controlled drug administration for 5 resident's (Resident #8, 32, 36, 93, and 383) and monitoring of controlled medications stored on 2 (Hall 100 and Hall 600) medication carts checked for narcotic reconciliation. […]

• No harm, potential for more than minimal, patternF726Mar 1, 2024

  Based on interviews and record reviews the facility failed to ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 of 1 Licensed Nurses (LVN A) reviewed for competent nursing, in that: LVN A was not supervised as per the Texas Board of Nursing agreed order. This deficient practice places residents at risk for being provided care by staff who do not have the skills to provide necessary . The Findings include: Record review of employee files on 02/27/2024 revealed that LVN A had nursing stipulations from the Texas Board of Nursing that were signed on December 13th, 2020, which revealed the following terms of the order: Findings: 7. […]

• No harm, potential for more than minimal, patternF657Jan 11, 2024

  Based on interview and record review, the facility failed to develop a comprehensive care plan within 7 days after completion of the comprehensive assessment, and include to the extent practicable, the participation of the resident and the resident's representative(s) for 2 of 4 residents (Resident #'s 45 and 80) whose records were reviewed for assessments and care plans. Resident #45 did not have a comprehensive care plan meeting or an updated care plan after the Significant Change MDS dated [DATE]. […]

• No harm, potential for more than minimal, patternF812Jan 11, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, for residents who received their meals in the Rehab Dining Area and Rehab Kitchen area on Hallway 100, by failing to ensure: A. Countertops were clean. B. Floors were clean. C. Cabinet drawers were clean. This failure could affect residents by placing them at risk for food-borne illness and food contamination. […]