We Care Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at We Care Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 19, 2023

  Based on observation, interview, and record review, the facility failed to store food safely when food in the refrigerator, chest freezer, reach-in freezer, and dry storage were unlabeled and undated. This failure has the potential of placing 21 out of 21 residents at risk for foodborne illnesses. Findings: During a concurrent observation and interview on 10/16/23, at 9:38 a.m., with Kitchen Supervisor (KS), during initial kitchen tour, in the chest freezer, 5 bags of broccoli had no date, two Ziploc bags of corn on the cob did not have label or date, and one package of turkey sausage with a date of 6/17/23. […]

• No harm, potential for more than minimal, patternF656Feb 28, 2025

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive, person-centered care plan and meet the needs of three of three sampled residents (Resident 1, 9 and 14) when: 1. The facility did not develop a care plan to address Resident 1's peripherally inserted central catheter (PICC, a tube used to deliver medications and other treatments directly to the large central veins near the heart) care. 2. The facility did not develop a care plan to address Resident 9's weight loss of 2.4lbs (pounds) in one week due to very low food and fluid intake. 3. […]

• No harm, potential for more than minimal, patternF759Feb 28, 2025

  Based on observation, interview and record review, the facility failed to ensure medication rate was five (5) percent or less when three medication errors were observed out of 25 opportunities (medication error rate was calculated as followed: three divided by 25 then multiplied by 100, which was equal to 12 percent) when: 1.Resident 71 did not receive snack/food with Metformin (an oral medication to control blood glucose in the blood) tablet. 2.Licensed Nurse did not instruct Resident 12 to press inner canthus (inner corner of the eye where the upper and lower eyelids meet) after administering eye drops. […]

• No harm, potential for more than minimal, patternF812Feb 28, 2025

  Based on observation, interview and record review, the facility failed to prepare food in accordance with professional standards of food service safety when: -Frozen meats inside the refrigerator were thawed on top of ready-to-drink fresh milk. -Multiple kitchen staff used the wrong test strip to check sanitizer concentration for the three-compartment sink and dishwasher. -Frozen chicken was thawed on the food preparation counter before cooking. -Two kitchen staff did not wear hair cover during food preparation. These failures had the potential to result in cross-contamination and food-borne illnesses. Findings: During an observation and concurrent interview on 2/24/25 at 10:22 a.m. […]

• No harm, potential for more than minimal, patternF759Oct 19, 2023

  Based on observation, interview and record review, the facility failed to administer medications below a five percent (5%) error rate when: 1. Licensed Vocational Nurse (LVN )1 gave Insulin Aspart (a drug used to treat diabetes; a condition that develops when a person's blood sugar is too high) 2 units, late to one (Resident 10) of 10 sampled residents. 2. LVN 1 gave Metformin 850 mg (a drug used to treat diabetes; a condition that develops when a person's blood sugar is too high), after lunch was finished and not with lunch, to one (Resident 12) of 10 sampled residents. These errors resulted in Resident 10 and 12, not receiving medication as prescribed by their physicians. […]