Wecare at Sycamore Rehabilitation and Nursing Cent

In the surveyor’s words

From the most serious findings on record at Wecare at Sycamore Rehabilitation and Nursing Cent, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 27, 2022

  Based on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to implement interventions to ensure an environment free from accident hazards to prevent falls and/or injuries that caused harm for one of six residents reviewed for fall concerns (Resident 2) and implement interventions for one of six residents for fall concerns (Resident 3). Findings include: The facility policy entitled Falls and Fall Risk, Managing, last reviewed January 20, 2022, revealed that in conjunction with the attending physician, staff will identify and implement relevant interventions to try to minimize serious consequences of falling. […]

• Actual harm, isolatedF692Apr 9, 2021

  Based on clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to assess and implement interventions, and provide physician ordered supplements to ensure acceptable parameters of nutrition placing one of 10 residents sampled at nutritional risk of severe weight loss resulting in harm (Resident 4). Findings include: The, Weight Policy, last reviewed without changes in November 2020, revealed the facility will attain/maintain a resident's weight within the recommended range as appropriate in relation to their medical and physical status. Weights will be obtained in a timely manner, documented, and responded to appropriately. […]

• No harm, potential for more than minimal, widespreadF812Mar 13, 2026

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner and maintain equipment in a sanitary condition, in the main kitchen of the facility, main dining room, and on one of six nursing units (Little League Nursing Unit). Findings include: Initial tour of the facility's main kitchen with Employee 17, Dietary Manager, on March 10, 2026, at 8:25 AM revealed the following: A wall mounted heating / cooling unit near the dishwasher room entrance had a black-colored build-up on the vents and cobwebs on the exterior. There were dried food stains on the ceiling. There were dried food stains on a wall and the disposable gloves being stored over a stainless-steel prep area. […]

• No harm, potential for more than minimal, widespreadF730Mar 15, 2024

  Based on staff interviews and review of facility documentation, it was determined that the facility failed to ensure that nurse aides received an annual performance review for three of three nurse aides reviewed (Employees 3, 4, and 5). Findings Include: Review of the facility's list of active nurse aide staff revealed Employee 3 had a hire date of November 15, 2022. Employee 3 should have had an annual performance review by November 15, 2023. Employee 4 had a hire date of November 15, 2022. Employee 4 should have had an annual performance review by November 15, 2023. Employee 5 had a hire date of November 15, 2022. Employee 5 should have had an annual performance review by November 15, 2023. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2023

  Based on observation and staff interview, it was determined that the facility failed to store, prepare, and distribute food in a manner to prevent the potential for food borne illness in the main kitchen and dining room. Findings include: Observation of the facility's main kitchen on February 28, 2023, at 8:20 AM revealed that across from the handwashing sink, was a three-tiered plastic cart that had debris and dried food on the shelves. Next to this rack was a metal bread rack that had bread products that was previously frozen as per concurrent interview with Employee 12, cook. A bag of dinner rolls, a bag of hotdog rolls, and a pack of cookies were not closed, exposing the food to the air and contaminants. A closed bag of three hotdog rolls were hard to touch. […]