Warde Health Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Feb 3, 2022

  Based on observation, interview, and policy review, it was determined that the facility failed to ensure that masks were worn in accordance to CDC (Center for Disease Control and Prevention) standards for 1 of 1 kitchen observed , 1 of 1 residential care unit observed, and 1 of 1 laundry room observed. Findings include: Standards: Review on 02/01/22 of Centers for Disease Control document titled, Types of Masks and Respirators, updated 01/28/22, revealed .Procedure Masks .Disposable procedure masks are widely available. […]

• No harm, potential for more than minimal, patternF812Feb 17, 2021

  Based on observation, interview, and record review, it was determined that the facility failed to monitor for expired food items the dry goods storage room in the main kitchen in accordance with professional standards for food service safety. Findings include: Observation on [DATE] at approximately 10:30 a.m. of the dry goods storage room in the main kitchen revealed the following: - Four boxes of cream of wheat with a best by date of [DATE]; - Two 32 ounce bags of cashews with a best by [DATE]; - Twenty bags of navy beans with a best by date of [DATE]; - Two bags of split green peas (one was open and half empty) with a best by date of [DATE]; - One large box that contained loose lentils with a best by date of [DATE] on the box; - Four silver bags that contained croutons or stuffing mix… […]

• No harm, potential for more than minimal, isolatedF761Mar 4, 2026

  Based on observation, interview, and record review, the facility failed to ensure medications were stored safely by removing expired medications and properly labeling medications with a shortened shelf-life (such as multi-dose vials) for 1 of 1 medication carts (Resident identifiers are #3, #6, and #19.) Findings include: Observation on 3/3/26 at approximately 8:30 a.m. of the Mercy Hall Medication Cart revealed:Resident #3's Latanoprost 0.005% (percent) Opthalmic Drops, opened and not labeled with a date of opening or expiration.Resident #6's Lantus Solostar Insulin Pen, opened and not labeled with a date of opening or expiration.Resident #19's Rhopressa 0.02% Opthalmic Drops, opened and labeled with a date of opening of 1/12/26. Interview on 3/3/26 at approximately 8:35 a.m. […]

• No harm, potential for more than minimal, isolatedF657Mar 27, 2024

  Based on interview and record review, it was determined that the facility failed to develop a care plan for psychotropic medications in 1 out of 5 residents reviewed for unnecessary medications in a final sample of 12 residents (Resident Identifier #2). Findings include: Review on 3/27/24 of Resident #2's current electronic Medication Administration Record (eMAR) revealed 3 psychotropic medications (Prozac start date 7/5/23, Wellbutrin start date 7/5/23, Buspar start date 1/23/24) administered between 3/1/24 and 3/27/24. Review on 3/27/24 of Resident #2's Psychotropic Medication Use Monthly Review dated 3/10/24 revealed the reason for medication use was depression. […]

• No harm, potential for more than minimal, isolatedF658Mar 27, 2024

  Based on interview and record review, it was determined that the facility failed to follow physician orders for 1 of 1 resident reviewed for constipation/diarrhea and 1 of 5 residents reviewed for unnecessary medications in a final sample of 12 residents (Resident Identifiers #7 and #24). Findings include: Standards: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Page 336 - Physicians' Orders The physician is responsible for directing medical treatment. Nurses follow physician's orders unless they believe the orders are in error or harm clients. Therefore you need to assess all orders, and if you find one to be erroneous or harmful, further clarification from the physician is necessary . […]