Waters of Wabash Skilled Nursing Facility East the

In the surveyor’s words

From the most serious findings on record at Waters of Wabash Skilled Nursing Facility East the, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801May 22, 2025

  Based on interview and record review, the facility failed to ensure the Dietary Manager completed the required education to meet the qualifications for a Dietary Manager. This deficiency had the potential to impact 56 of 56 residents who received meals from the facility kitchen. Findings include: During an interview on 5/18/25 at 9:49 a.m., the Dietary Manager indicated she did not have a certification qualifying her to act as Dietary Manager. She was hired in December of 2024 and had received no training at that time, or since. During an interview with the Administrator on 5/20/25 at 11:48 a.m., he indicated he was aware the Dietary Manager was not certified to act as Dietary Manager. […]

• No harm, potential for more than minimal, widespreadF812May 22, 2025

  Based on observation, interview, and record review, the facility failed to store and prepare food under safe and sanitary conditions related to kitchen equipment, utensil storage, food storage, and chemical storage. This deficient practice had the potential to affect 56 of 56 residents who received food from the facility kitchen. Findings include: During a kitchen observation on 5/18/25 at 9:49 a.m., accompanied by the Dietary Manager, the following was observed: Next to the front service window, an open container of brown sugar was on the countertop with a scoop (including the handle) laying inside the brown sugar. The microwave had splatters of eggs and other unidentifiable foods on the bottom, three inside walls, and inside the door. […]

• No harm, potential for more than minimal, patternF804May 22, 2025

  Based on observation, interview, and record review the facility failed to ensure meals were palatable for 17 of 31 residents reviewed for palatable meals. (Residents 3, 4, 5, 9, 17, 19, 23, 25, 33, 34, 36, 40, 49, 50, 51, 108, and 109) Finding includes: During an interview, on 5/18/25 at 11:04 a.m., the Resident 109's representative indicated the food at the facility was terrible. The resident's representative had talked with the Administrator and sent a letter to the vice president of the company. The food was worse than terrible. The roll yesterday was as hard as a rock. He could bounce it off the floor. The residents were served some kind of soup yesterday and were unable to tell what it was supposed to be. The food was cold, did not look good, and tasted terrible. […]

• No harm, potential for more than minimal, patternF880Jun 30, 2023

  Based on observation, interview, and record review, the facility failed to provide physician-ordered enhanced barrier precautions (EBP) for 3 of 6 residents reviewed for transmissions-based precautions (Resident 3, Resident 37, and Resident 95). Findings include: 1. Resident 37's clinical record was reviewed on 6/28/23 at 9:23 a.m. Current physician orders included clean area to right coccyx with wound cleanser, pat dry, apply collagen to area, and apply foam dressing daily and as needed for dislodgement or soilage (6/15/22), enhanced barrier precautions every shift for open wound (5/11/23), and monitor area to right buttocks daily until resolved (4/29/23). […]

• No harm, potential for more than minimal, patternF880Mar 3, 2021

  Based on observation and interview, the facility failed to ensure staff properly stored used masks, performed hand hygiene after doffing PPE and were properly wearing required PPE during 7 of 7 random observations (CNA 18, CNA 7 and Dietary Aide 9) Findings include: During an initial tour of the facility, on 3/2/21 at 8:55 a.m., with the ADON, she indicated the residents in rooms [ROOM NUMBER] were in TBP due to being new admissions to the facility. During a random tour of the facility, on 3/2/21 at 9:10 a.m., the following was observed: a. On the door of room [ROOM NUMBER], an over-the-door [MEDICATION NAME] held 12 uncovered N95 masks in the pockets. Signage on the door indicated the resident required TBP. […]