Waldorf Center

In the surveyor’s words

From the most serious findings on record at Waldorf Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 20, 2024

  Based on observation, staff interview, and facility policy review, the facility failed to ensure kitchen staff properly cleaned food preparation equipment for use and that clean pans were air dried prior to storage. These failures had the potential to increase the risk of foodborne illness and had the potential to affect 103 of 110 residents (seven residents received nutrition via tube feedings with some pleasure foods allowed) in the facility who received dietary services. Findings include: 1. During an observation and interview on 08/13/24 at 9:10 AM, the Account Manager Dietary (AMD) confirmed the meat slicer blade had food remnants on it and needed to be cleaned before it was used. During an interview on 08/13/24 at 9:10 AM, the AMD stated, it's my expectation that . […]

• No harm, potential for more than minimal, widespreadF814Aug 20, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure garbage was properly disposed of and contained in one of one dumpster areas which would affect 110 census residents and staff in the facility. This failure had the potential to attract pests. Findings include: Observation on 08/13/24 at 9:35 AM, with the Account Manager Dietary (AMD) of the area in the parking lot, behind the building where the trash dumpsters were located, revealed one of two dumpsters used to contain the facility trash and recycling material were open. The top lid was left open. There was a large trash bag lying on the ground between the two dumpsters that had been ripped open. […]

• No harm, potential for more than minimal, patternF583Jan 23, 2026

  Based on observation and interview it was determined the facility failed to ensure privacy and confidentiality of medical records. This was evident during 1 out of 1 dual surveyor observation of the facility's warehouse building which was conducted during the facility's recertification survey and during the review of Complaint #2714840. The findings include: During review of complaint #2714840 the surveyor requested and conducted a dual surveyor observation of the facility's warehouse building on 1/20/26 at 11:09AM with the facility's Director of Maintenance #14 and Assistant Director of Maintenance #24 who unlocked the facility's warehouse for the observation at which time surveyors observed several open boxes of medical records with freely visible protected health information in… […]

• No harm, potential for more than minimal, patternF584Jan 23, 2026

  Based on observation and interview it was determined that the facility failed to maintain a safe, clean, comfortable, and homelike environment. This was evident for 6 (Rooms #102, #103, #107, #118, #119, and #124) out of 17 Resident rooms and one hallway on the A Wing Unit during the facility's recertification survey. The findings include: 1.) On 1/15/2026 during a tour of A Wing Unit conducted between 8:33AM and 10:30AM, the Surveyor observed the following environmental concerns: 1a.) In room [ROOM NUMBER], there was one window covered with cream colored roller blinds, pulled down at the time, which contained a large area with specks of black discoloration embedded in the roller blind material, 1b.) In room [ROOM NUMBER], there were two windows. […]

• No harm, potential for more than minimal, patternF812Jan 23, 2026

  Based on observation and interview it was determined the facility failed to ensure sanitary practices were followed and maintained and ensure food was stored in accordance with professional standards for food service safety. This was evident during the surveyor's review of the kitchen during the facility's recertification survey. The findings include: During the surveyor's initial tour of the facility's kitchen on 1/15/26 beginning at 8:36AM the surveyor observed a handwashing sink located within the kitchen next to the entrance to the kitchen. The handwashing sink was observed to be unclean in appearance with a visible layer of debris present on the sink surfaces with signage posted which had areas of brown discoloration and debris present. […]