The Wartburg Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 28, 2025

  Based on observation and interviews conducted during the recertification survey from 7/22/25 to 7/28/25, the facility did not ensure food was stored, prepared, and distributed in sanitary conditions in accordance with professional standards for food service safety. Specifically, there were unlabeled and undated food items in the kitchen, storeroom, and unit pantry, there was expired foods in the kitchen, storeroom, and unit pantry, there was a cell phone on the food prep area, dietary staff did not wear proper hair and beard restraints, there were boxes stored on the floor, there was personal staff item in kitchen food prep area and there were poor sanitary conditions in unit pantries. […]

• No harm, potential for more than minimal, widespreadF908Jul 28, 2025

  Based on observations and interviews during the recertification survey from 7/22/25 to 7/28/25, the facility did not ensure that essential kitchen equipment was maintained in safe operating condition. Specifically, dishwashers in all four-unit pantries were broken, Unit 1 South pantry food warmer, tall standing freezer, and steam table were broken, and the main kitchen dish machine did not reach proper temperature for sanitization in wash (150-165 degrees), rinse, or final rinse (180 degrees) modes. The findings are: During an observation of the Unit 1 South pantry on 7/24/25 at 12:48 PM, a puddle of water was observed by the right front leg of the food warmer and a towel was observed inside the bottom of the upper door frame. […]

• No harm, potential for more than minimal, patternF625Jun 20, 2023

  Based on record reviews and interviews during the recertification and abbreviated surveys (NY00306039) 6/13/23 to 6/20/23, the facility did not ensure that residents or resident's representatives were notified in writing of the facility Bed Hold Policy for 4 of 5 residents reviewed for hospitalization . Specifically, Residents #257, #103, #74, and #97. were transferred to the hospital and the facility did not provide evidence that a written notice of the facility Bed Hold Policy was given to the residents or representatives. Findings include: The facility Policy and Procedure, titled Bed Hold and Return to Facility, revised 6/1/19, documented the facility would provide written information about the bed hold duration and payment amount before transfer to the hospital or therapeutic leave. […]

• No harm, potential for more than minimal, patternF947Jun 20, 2023

  Based on record reviews and interviews conducted during a recertification survey 6/13/2023-6/20/2023, the facility did not ensure that the certified nurse aides (CNA) were provided the required 12 hours of training and annual in-service on dementia care management and resident abuse prevention, to ensure safe delivery of care. Specifically, the facility was unable to provide evidence that 8 out of 10 CNAs (CNA #1, 2, 3, 4, 5, 6, 7, and 8), reviewed for Nurse Aide training, were provided 12 hours of mandatory training. The findings are: Review of the facility CNA annual in-service training records revealed: - CNA #1 and #4 lacked 11 of the 12 hours of mandatory training. - CNA #2, #7 and #8 lacked 10 of the 12 hours of mandatory training. […]

• No harm, potential for more than minimal, patternF812May 17, 2021

  Based upon observation, interview, and record review conducted during a recertification survey the facility did not ensure labeling, dating, and monitoring of refrigerated food, including, but not limited to leftovers, so it is used by its use-by date, or frozen (where applicable) or discarded. This was identified during the initial tour of the kitchen. The facility must store, prepare, distribute, and serve food in accordance with professional standards for food service safety. […]