Waterford Crossing

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Mar 23, 2026

  Based on record review and interview, the facility failed to keep documentation of the facilities infection control surveillance records. This deficient practice had the potential to affect 73 of the 73 residents who resided in the facility. Finding includes: A review of the Infection Control Binder (ICB) was completed on 3/23/2026 at 10:37 A.M. The ICB included the infection control surveillance for January through March 2026, but did not include any other months before January 2026. […]

• No harm, potential for more than minimal, patternF812Dec 15, 2022

  Based on observations and interviews the facility failed to provide a sanitary refrigerator and storage for the residents' nutrition needs in 3 out of 3 unit nutrition pantries that were observed. Finding includes: During an observation of the 100-unit nutrition pantry with the Dietary Manager, on 12/13/2022 at 1:20 P.M., the refrigerator had ice buildup in the freezer compartment. The 200-unit refrigerator had spills on door shelves and the freezer had ice buildup that was discolored brown. The floor in the nutrition pantry had brown spills. The 300-unit refrigerator had spills noted on the bottom shelf and ice buildup in the freezer. The microwave had brown food particles on the bottom and the walls. […]

• No harm, potential for more than minimal, isolatedF883Mar 23, 2026

  Based on record review and interview, the facility failed to provide pneumococcal immunizations for 2 of 5 residents whose immunizations were reviewed. (Residents 39 & 40)Findings include: 1. Resident 39's record review was completed on 3/23/2026 at 10:00 A.M. Diagnoses included, but were not limited to: dementia, major depressive disorder and chronic pulmonary disease. Resident 39's record lacked the documentation indicating she had been offered or had been administered the pneumococcal vaccination in the last year. 2. Resident 40's record review was completed on 3/23/2026 at 10:05 A.M. Diagnoses included, but were not limit to: vascular dementia, hypertension, dysphagia and major depression. […]

• No harm, potential for more than minimal, isolatedF561Dec 18, 2024

  Based on interview and record review, the facility failed to honor a resident's shower preference for 1 of 1 resident reviewed for choices. (Resident 13) Finding includes: During an interview, on 12/13/2024 at 9:42 A.M., Resident 13 was unsure if the facility asked her about her preference for showers. She indicated she received a shower two times a week on the evening shift. She indicated she would like to have a shower daily on the day shift, as she had never showered in the evening before this admission. A record review for Resident 13 was completed on 12/16/2024 at 1:05 P.M. […]

• No harm, potential for more than minimal, isolatedF656Dec 18, 2024

  Based on interview and record review, the facility failed to ensure a care plan for vision needs was in place for 1 of 2 residents reviewed for communication and sensory needs. (Resident 8) Finding includes: During an interview, on 12/12/2024 at 10:25 A.M., Resident 8 indicated he could not read the newspaper or the Bible. A record review for Resident 8 was completed, on 12/13/2024 at 12:57 P.M. Diagnoses included, but were not limited to: metabolic encephalopathy, major depressive disorder and macular degeneration. A Quarterly Minimum Data Set (MDS) assessment, dated 9/9/2024, indicated Resident 8 had moderate cognitive impairment and had impaired vision and utilized corrective lenses. […]