Waterford Care Center, The

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 13, 2023

  Based on interview and record review, the facility failed to ensure a totally dependent resident requiring a two plus person assist for bed mobility was provided the necessary assistance by failing to obtain help from another staff during resident care for 1 (R3) of 4 residents reviewed for falls. This failure resulted in R3 falling from the bed and sustaining a closed displaced spiral fracture of the shaft of the right humerus. Findings Include: R3 has diagnoses not limited to History of Falling, Polyosteoarthritis, Chronic Pain, Displaced Spiral Fracture Of Shaft Of Humerus, Right Arm, Subsequent Encounter For Fracture With Routine Healing Personal History of Covid-19, Chronic Obstructive Pulmonary Disease With (Acute) Exacerbation, Acute and Chronic Respiratory Failure With Hypoxia,… […]

• No harm, potential for more than minimal, widespreadF812Jan 23, 2026

  Based on observation, interview, and record review, the facility failed to ensure food items were properly labeled and dated and manufacturer guidelines followed. These failures have the potential to affect all 129 residents receiving food prepared in the facility's kitchen. Findings include:On 01/20/26 at 9:21 AM, V11 (Dietary Manager) stated all prepared or opened containers are labeled with a prepared or opened date and a use by date or expiration date. V11 stated prepared or opened food items are discarded after seven days and the kitchen follows manufacturer use by and/or expiration dates printed on the product. V11 stated different foods have different expiration dates depending on what the product is. […]

• No harm, potential for more than minimal, widespreadF812Dec 20, 2024

  Based on observation, interview, and record review, the facility failed to follow proper sanitation and food storage practices as evidenced by food not properly labeled, and food not properly stored. These deficient practices have the potential to affect all 128 residents receiving food prepared for the nursing skilled facility. Findings include: On 12/17/24 at 9:11 AM, during initial kitchen tour with V17 [Dietary Manager], the following items were found in walk-in freezer: Box of turkey [NAME] hot dogs uncovered with no open or discard date. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure cooking equipment was properly sanitized per manufacturer guidelines, failed to conduct hand washing in between handling dirty and clean plate ware/equipment, and failed to follow facility procedure for hand washing for appropriate length of time. These failures have the potential to affect all 132 residents receiving food prepared in the facility's kitchen. Findings include: On 01/10/24 at 10:41 AM, V25 (Dietary Cook) took the dirty blender, used for pureed food preparation, and put it into the dishwasher. At 10:42 AM, V25 pulled out a clean blender from the dishwasher. […]

• No harm, potential for more than minimal, widespreadF880Jan 12, 2024

  Based on observation, interview and record review, the facility failed to ensure that 1 (R2) resident on TBP (Transmission Based Precaution) have proper signage indicating contact precautions and instructions on the use of specific PPE (Personal Protective Equipment) posted outside of R'2 room; failed to implement written EBP (Enhance Barrier Precaution) policy and procedures for 4 (R3, R57, R61, R113) residents; failed to ensure that staff was safely handling linens by not properly bagging soiled linens to prevent the spread of infection; and failed to review IPCP (Infection Prevention and Control Program) policy at least annually. These failures can potentially affect 136 residents residing in the facility, as of census dated 1/9/24. The findings include: 1. […]