Washington Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 30, 2026

  Based on observation, staff interviews and facility policy review the facility failed to ensure items in the kitchen refrigerator were dated and labeled and failed to discard food items by the expiration date for one (1) of three (3) dietary tour observations. Findings Include:Review of the facility policy titled, Food Storage Labeling, with a revision date of 08/12, revealed The facility will ensure the safety and quality of food by adhering to proper storage and labeling procedures. 1. a. All temperature-controlled foods and ready to eat foods that are prepared in the facility and held for longer than twenty-four hours will be labeled. Information included on the label: Name of the Food, Date of storage. b. […]

• No harm, potential for more than minimal, widespreadF851Aug 21, 2024

  Based on staff interview and record review, the facility failed to submit accurate staffing information into the Payroll-Based Journal (PBJ) system for one (1) of four (4) quarters reviewed. Second (2nd) Quarter 2024. Findings include: Review of the facility PBJ (Payroll-Based Journal) Instructions with a revision date of February 3, 2020 revealed, PBJ = Payroll-Based Journal - Mandated by CMS (Centers for Medicare and Medicaid Services). Each location must collect time worked by contract workers. […]

• No harm, potential for more than minimal, isolatedF641Apr 30, 2026

  Based on record review, staff interview, and facility policy review, the facility failed to accurately code Section A of the Minimum Data Set (MDS) for a resident identified with a serious mental illness (SMI) through the Preadmission Screening and Resident Review (PASRR) Level II process for one (1) of (16) MDS assessments reviewed. Resident #9Findings include:Review of the facility policy titled Resident MDS Assessment, revised 9/9, revealed, An assessment will be completed on each resident utilizing the MDS. The completed assessment guides staff in identifying key information about the resident and serves as a basis for identifying resident-specific issues and objectives in order to develop a care plan. […]

• No harm, potential for more than minimal, isolatedF656Apr 30, 2026

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure the implementation of the resident's care plan for oral hygiene for one (1) of (16) care plans reviewed. Resident #4 Findings Include:Record review of the facility policy titled Care Plan Process, revised 12/24, revealed, The facility shall use the results of the assessments to develop, review, and revise the resident's comprehensive plan of care. The facility staff shall follow the care plan.Record review of Resident #4's Care Plan Report revealed under, Focus: Resident is dependent with oral hygiene. Further review revealed under, Interventions: Provide oral hygiene as needed. […]

• No harm, potential for more than minimal, isolatedF677Apr 30, 2026

  Based on observation, staff interview, record review, and facility policy review, the facility failed to provide oral care to a resident dependent on staff for Activities of Daily Living (ADLs) care for one (1) of three (3) residents reviewed for ADLs. Resident #4 Findings Include:Review of the facility policy titled Oral Hygiene, revised 1/24, revealed under Purpose: To clean the mouth, teeth, and gums; To remove particles of food; To remove bacteria and odor; To provide comfort to the resident; To keep the mouth moist.Record review of Resident #4's Order Summary Report revealed an order dated 1/23/26 for NPO (nothing by mouth) diet.An observation on 4/28/26 at 10:38 AM revealed Resident #4 was lying in bed with upper and lower lips that were dry, with cracking and peeling skin on the… […]