We Care Skilled Nursing - Fremont

In the surveyor’s words

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

• Actual harm, isolatedF692Sep 1, 2023

  Based on observation, interview and record review, the facility failed to provide nutritious vegetarian meals (foods that do not contain meat, but only fruits, vegetables, and dairy products) to meet nutritional needs for one of seven sampled residents (Resident 16). Facility did not recognize, intervene and/ or evaluate Resident 16's 23 pounds (lbs.), a significant amount of weight loss during a six-month period. This failure resulted in Resident 16 to lose five (5) more lbs. over the following 2 weeks from first six months, leading to 28 lbs. weight loss in over six months, feeling of weakness, consistent hunger and psychological distress, frequently eating snacks such as chips and cookies. […]

• No harm, potential for more than minimal, widespreadF726Sep 1, 2023

  Based on interview and record review, the facility failed to ensure if safe skilled nursing care was provided to all 62 residents residing at the facility when Licensed Nurses (LNs) including, three of three sampled Registered Nurses (RNs) and 12 of 12 sampled Licensed Vocational Nurses (LVNs) who had been working at the facility for more than one year, did not receive an annual competency assessment (a measure of an employee's knowledge, skills and behaviors used in performing specific job tasks) since their date of hire. This failure had the potential to cause compromised skilled nursing care to all 63 residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2023

  Based on observation, interviews and record review, the facility failed to ensure food are stored under sanitary conditions when; The following food items in refrigerator were not labeled and no use by date: One bottle of jalapeno peppers opened 8/8/23 with no use by date One container of garlic in water opened, unlabeled with no use by date One container of beef base opened with no use by date Walk in freezer was cluttered with several boxes of food items. These failures had the potential to result in food borne illnesses. […]

• No harm, potential for more than minimal, widespreadF813Sep 1, 2023

  Based on observation, interview and record review, the facility failed to follow food safety requirements when following was noted: 1. Food items kept in the refrigerator designated for food brought from outside the facility were not labeled and not separated from staff's food. 2. Facility did not allow heating/ reheating cold food leftovers for residents brought from outside. These failures had the potential to cause foodborne illness for residents in the facility. Findings: During a concurrent observation and interview on 8/31/23 at 12:04 p.m. with the Assistant Director of Nursing (ADON), at nursing station one's medication room, the ADON opened a 3.7 cubic foot refrigerator located inside nursing station one's medication room. […]

• No harm, potential for more than minimal, widespreadF908Sep 1, 2023

  Based on observation, interviews and record review the facility failed to maintain ice machine in a safe and proper working condition when ice machine located in the kitchen was not sanitized per manufacturers instructions. This failures had the potential to result in food borne illnesses. Findings: During an observation and concurrent interview on 8/28/23 at 11:12 a.m., the ice machine located in the kitchen was filled with water and small tiny ice floating in the ice bin. DS stated, the ice machine was not harvesting ice properly, freezes from time to time and had to be unplugged to dispense ice. […]