Webster House

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF684Jun 9, 2026

  Based on interview and record review, the facility failed to provide services according to professional standards for one of three residents (Resident 1) when there was no documentation of medication administration for Resident 1's scheduled medications and nutritional supplements, five to six days on day shifts and one to two days on evening shifts in November 2025.These failures had the potential to affect Resident 1's health, safety and well-being.Findings:Review of Resident 1's face sheet (summary page of a patient's important information) indicated Resident 1 was admitted to the facility with diagnoses including dementia (a condition with group of symptoms affecting thinking and social abilities interfering with daily functioning), respiratory failure (a condition when lungs cannot… […]

• No harm, potential for more than minimal, patternF700Feb 27, 2023

  Based on observation, interview, and record review, the facility failed to review the risks and benefits of bed rails (adjustable metal or rigid plastic bars that attach to the bed) with the resident or resident representative and obtain informed consent prior to the use of bed rails for seven of 27 residents (Residents 18, 23, 27, 37, 45, 55, and 363). This failure had the potential to put the residents at risk for entrapment and serious injury due to not being aware of the risks and benefits of bed rails. Findings: During the initial tour of the facility conducted on 2/21/23, at 9:30 a.m., Residents 18, 23, 37, 45, and 55, all had quarter bed rails elevated. […]

• No harm, potential for more than minimal, patternF759Feb 27, 2023

  Based on observation, interview and record review, the facility had a medication error rate of 17.86%, when five medication errors out of 28 opportunities occurred during medication administrations for three of six residents (Residents 11, 24, and 49). These deficient practices resulted in medications not being given in accordance with the prescriber's orders and/or manufacturer's specifications, which could have resulted in the residents not receiving the full therapeutic effects of the medications. Findings: 1. […]

• No harm, potential for more than minimal, patternF761Feb 27, 2023

  Based on observation, interview, and record review, the facility failed to ensure expired medications were removed, and medications were labeled and stored according to manufacturer's instructions for one out of one medication room and two out of two medication carts. These deficient practices had the potential for residents to receive medications with reduced potency and had the potential to result in medication errors. Findings: 1. During an inspection of the third floor medication cart on 2/21/23, at 10:26 a.m., with Registered Nurse A (RN A), a bottle containing loratadine (medication for allergies) 10 milligram (mg, unit of dose measurement) tablets was identified with the expiration date of 1/2023. […]

• No harm, potential for more than minimal, patternF804Feb 27, 2023

  Based on observation, interview, and record review, the facility failed to ensure the dietary staff followed their recipe when the senior lead cook (SLC) prepared yellow squash and red pepper vegetables for lunch. This failure had the potential to compromise the nutritional value and palatability of the food for 58 residents who received food services from the facility. Findings: During an interview on 2/21/22 at 10:43 a.m., Resident 363 stated, Food is not so good. He further stated hot food was served cold, and the food was not tasty. During an interview with Resident 10 on 2/21/23 at 11:00 a.m., Resident 10 stated, Food has no taste. During an interview with Resident 46 on 2/21/23 at 11:30 a.m., Resident 46 stated, Food is not tasty, cold, stale, and awful. […]