Webster Health Services Nursing Facilty

In the surveyor’s words

From the most serious findings on record at Webster Health Services Nursing Facilty, in the surveyor’s own words.

• Actual harm, isolatedF700Jan 25, 2024

  Based on observation, staff interview, record review, and facility policy review the facility failed to ensure the safety of a resident when bilateral side rails were applied to the middle of a residents' bed without assessing the resident for alternative safety methods, risk for entrapment, and failed to obtain informed consent prior to installation of bedrails for one (1) of three (3) residents reviewed. Resident #6. Findings include: A review of the facility policy titled, Side Rails, revised June 14, 2023, revealed Rationale: To provide guidelines for safe and effective use of bed rails in the patient care environment . An observation of Resident #6's room on 1/23/24 at 10:30 AM, revealed side rails in the up position bilaterally on each side of the bed. […]

• No harm, potential for more than minimal, isolatedF641Aug 20, 2025

  Based on staff interview and record review, the facility failed to accurately complete section I (active diagnoses) and O (special treatments and programs) of the Minimum Data Set (MDS) for four (4) of 14 sampled residents. Resident #6, #7, #29, and #34 Findings include: Review of facility letterhead revealed, (Proper name of facility) Long Term Care follows the RAI (Resident Assessment Instrument) Regulatory Requirements. This was signed by the Administrator and dated 8/20/25. Resident #6 Record review of Resident #6's Order dated 6/26/25 revealed, Admit to Hospice. […]

• No harm, potential for more than minimal, isolatedF693Aug 20, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure a resident receiving enteral feeding received appropriate care for one (1) of two (2) residents with a Percutaneous Endoscopic Gastrostomy (PEG) tube. Resident #20Findings Include:Review of the facility policy titled Enteral Feeding: Gastrostomy, PEG, Jejunostomy, unrevised, revealed under Policy: It is the policy of ‘Proper name of the facility' that residents unable or unwilling to ingest oral nutrients should be properly provided nutrition and care.During an observation of a medication pass on 8/20/2025 at 12:10 PM with Licensed Practical Nurse (LPN) #1, she checked placement of Resident #20's feeding tube and withdrew three and one-half (3 1/2) 60 ml (milliliter) syringes of… […]

• No harm, potential for more than minimal, isolatedF880Aug 20, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to follow infection prevention and control practices during blood glucose monitoring by not using a barrier and by cleaning the multiuse glucometer with an agent that was not effective against bloodborne pathogens for three (3) of eight (8) resident care opportunities observed. Resident # 8, Resident #22, and Resident #36Findings Include: Review of the facility policy titled “Care of Equipment: Cleaning, Disinfecting, and Storage,” revised 1/10/24, revealed under “Cleaning and Disinfecting: Any equipment/devices entering the room or treatment area should be cleaned and disinfected between patient use with the approved disinfectant and according to the manufacturer’s instructions for use… […]