The Lev at Winchester

In the surveyor’s words

From the most serious findings on record at The Lev at Winchester, in the surveyor’s own words.

• Immediate jeopardy, patternF686Feb 15, 2023

  Based on observation, interview, and record review the facility failed to ensure residents who entered the facility without pressure ulcers did not develop pressure ulcers and a resident having pressure ulcers received care and treatment consistent with professional standards of practice to promote healing and prevent further development of skin breakdown or pressure ulcers for 2 of 8 residents (Residents #1 and #3) reviewed for pressure ulcers. - The facility failed to conduct comprehensive skin assessments for Resident #1 resulting in the development and delayed treatment of a sacral wound unknown to staff until 12/17/2022. The wound measured 8.6 cm x 3.3 cm, circumference 28.38 cm, required debridement and hospitalization due to sepsis. […]

• Immediate jeopardy, patternF689Feb 15, 2023

  Based on interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for two (Resident #1 and Resident #2) of eight residents reviewed for accidents, hazards, and supervision. -The facility failed to provide adequate supervision and psychiatric intervention for Resident #2 to prevent further injuries from falls and self-injury behaviors that resulted in multiple injuries including bruises, lacerations, and hospitalization s. […]

• Immediate jeopardy, patternF692Feb 15, 2023

  Based on interview and record review the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise for 1 (Resident #1) of 8 residents reviewed for weight loss. -The facility failed to identify and initiate timely intervention to prevent weight loss and help promote skin integrity when Resident #1 experienced continuous significant weight loss of 27 lbs. in approximately 4 mths from 8/30/22 to 1/12/23 and resulted in multiple skin breakdown, sepsis, and hospitalization . […]

• No harm, potential for more than minimal, widespreadF727Aug 8, 2025

  Based on record review and interview, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, 7 days a week for 4 of 5 months (January, February, April, and May of 2025) reviewed for nursing services. The facility failed to ensure a registered nurse worked on 1 day out of 31 days in January of 2025.The facility failed to ensure a registered nurse worked on 3 days out of 28 days in February of 2025 The facility failed to ensure a registered nurse worked on 1 day out of 30 days in April 2025.The facility failed to ensure that a registered nurse worked 2 days out of 31 days in May of 2025 These failures could place residents at risk by leaving staff without supervisory coverage for RN specific nursing activities and for coordination of events… […]

• No harm, potential for more than minimal, widespreadF801Feb 2, 2022

  Based on record review and interview, the facility failed to have a qualified dietary manager for the overall supervisory responsibility for the facility's food services department, in that; The facility did not have a certified Dietary Manager. This failure placed all resident at risk of foodborne illness and receiving inappropriate diets. Findings include: Record review of the facility's Dietary Manager's personnel file revealed she was hired on 12/17/18; further review revealed no Dietary Manager's certification. Interview with dietary manager on 01-31-22 at 10:40 am, she said she took on the dietary manager position on 12-17-18. She stated she has not taken any courses to become a Dietary Manager for her to be certified by taking/qualifying test. […]