The Green House Cottages of Wentworth Place

In the surveyor’s words

From the most serious findings on record at The Green House Cottages of Wentworth Place, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 13, 2023

  Based on observation, record review and interview, the facility failed to ensure dented food cans were promptly removed/ discarded; expired food items were promptly removed/discarded on or before the expiration or use by date; foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 2 ([NAME] House and [NAME] House) kitchens; dietary staff wore hairnets to prevent the potential for cross contamination for residents who received meals from 2 ([NAME] House and [NAME] House) kitchens; dietary staff handled glassware items properly to prevent the potential for cross contamination for residents who received meals from 1 ([NAME] House) of 7 (Pavilion, [NAME] House, [NAME]… […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2022

  Based on observation and interview, failed to ensure expired food items were promptly removed /discarded on or before the expiration or Use by dates and Dietary Staff washed their hands before handling clean equipment or food items to prevent potential food borne illness. These failed practices had the potential to affect 96 residents who received meals from of each kitchen in7 of 7 houses (Total Census: 96), according to the lists provided by the Dietary Supervisor dated. The findings are: 1. On [DATE] at 9:13 AM, the following observations were made in the Griffin House a. There was an opened Sysco plain salt was stored on a shelf above the food preparation. The box was not covered. b. There was one 32 fl. […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2021

  Based on observation and interview, the facility failed to ensure Dietary Staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination; failed to ensure expired food items were promptly removed /discarded on or before the expiration or use by dates; failed to ensure 1 ([NAME] House) of 4 ([NAME] House, [NAME] House, Main House, and Brown House) ice machines were maintained in a clean and sanitary condition; failed to ensure meat items stored in the freezer and / or refrigerator were covered or sealed; failed to ensure hot food items were maintained at or above a temperature of 135 degrees Fahrenheit on the counter while awaiting the meal service, to prevent potential cross-contamination of residents food or beverages, and to… […]

• No harm, potential for more than minimal, patternF623Sep 19, 2024

  42965 Based on interviews, record review, and facility policy review, it was determined the facility failed to notify and provide a copy of the written notice to the long-term care ombudsman when a resident was transferred to the hospital for 3 (Resident #88, #85, and # 212) of 3 sampled residents reviewed for hospitalization . The findings are: 1. Review of an annual Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 7/16/24 indicated Resident #88 had diagnoses of dementia, history of falling, personal history of healed traumatic fracture, muscle weakness. The MDS indicated Resident #88 had a Brief Interview for Mental Status (BIMS) score of 4 (0-7 suggests severe cognitive impairment). a. […]

• No harm, potential for more than minimal, patternF689Sep 19, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure the lift pad was free of fraying and holes for 1 (Resident #54) sampled resident reviewed for accidents and injuries, and to ensure a resident was not allowed to smoke outside without supervision affecting 1 (Resident #59) sampled resident of 2 Sampled (Resident #24, #59) residents reviewed for smoking. Findings include: 1. A review of Medical Diagnoses, revealed Resident #54 with a diagnoses of Huntington's disease, stroke, and major depressive disorders. a. The annual Minimum Data Set (MDS) with an Assessment Reference Date (ARDs) of 01/22/2024 indicated a Brief Interview for Mental Status (BIMs) score of 03 (0-7 suggest severely impaired). […]