Warrenton Woods of Journey LLC

In the surveyor’s words

From the most serious findings on record at Warrenton Woods of Journey LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 24, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Date Marking for Food Safety, the facility failed to discard refrigerator food by expiration dates and ensure proper food labeling, storage, and dating, and to ensure dishwasher and sink testing strips were not expired. The deficient practices had the potential to affect all residents who receive meals from the kitchen. Findings include: Review of the undated facility policy titled Date Marking for Food Safety revealed under Policy Explanation and Compliance Guidelines for Staffing: . 2. The food shall be clearly marked to indicate the date or day by which the food shall be consumed or discarded. 5. […]

• No harm, potential for more than minimal, widespreadF908Feb 24, 2025

  Based on observations, staff interviews, and record review, the facility failed to ensure essential kitchen equipment was in working order as evidenced by the kitchen hood extinguishing system not operating. This deficient practice had the potential to affect 50 residents receiving an oral diet from the kitchen. Findings include: A review of the facility-provided document titled Kitchen Auto Extinguishing Systems, dated 1/30/2025, revealed the kitchen hood passed the inspection, and inspection results documented that the exhaust fan(s) were not operable. A review of the facility's work order from an electrical service dated 2/22/2025 revealed an on-site inspection that documented there was no voltage to the kitchen hood motor, and the recommendation was made to order a motor. […]

• No harm, potential for more than minimal, widespreadF698Oct 31, 2023

  Based on observations, record review, staff interviews, review of the Outpatient Dialysis Service Agreement, and review of policy titled Care of a Resident with End-Stage Renal Disease, the facility failed to ensure ongoing communication between the facility and the dialysis center for three of three residents (R) R22, R15, and R33 reviewed for dialysis. In addition, the facility failed to provide Physician Orders for dialysis services and ongoing monitoring for R22 dialysis access site. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2023

  Based on observations, staff interviews, and review of the policy titled All foods stored will be properly labeled according to the following guidelines, the facility failed to ensure opened food items in the refrigerator were properly labeled, dated, and stored. This deficient practice had the potential to affect 47 of 48 residents who receive an oral diet from the kitchen. Findings included: Review of the policy titled Food Labeling and Dating revealed, under subsection titled, Discussion .B. Proper food labeling- All leftover foods or foods removed from their original containers require proper labeling when stored. […]

• No harm, potential for more than minimal, widespreadF865Oct 31, 2023

  Based on record review, staff interviews, and review of policies titled Quality Assurance and Performance Improvement (QAPI) Committee and Quality Assurance Committee Report and Warrenton Health and Rehab QAPI Plan 2023, the facility failed to maintain and effective Quality Assurance and Performance Improvement (QAPI) program which systemically identified, reviewed, developed, and implemented plans to correct quality deficiencies. Specifically, the facility failed to show good faith in implementing the action plan, measure the success of the actions, and track performance related to Dialysis Communication Sheets for three of three residents receiving dialysis resources outside the facility. […]