Wentz Living Center

In the surveyor’s words

From the most serious findings on record at Wentz Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 30, 2024

  Based on observation, record review, review of the facility reported incident (FRI) report, facility policy review, and staff interviews, the facility failed to prevent accidents for 1 of 1 sampled resident (Resident #1) who sustained a fall with fractures. Failure to use the appropriate sling sized during a full body mechanical lift transfer resulted in an avoidable fall and fractures for Resident #1 and places all residents at risk for falls and/or injuries. During the investigation survey, the team consulted the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 05/29/24 at 3:00 p.m. The IJ resulted from a failure by the facility to assess residents for the proper sized sling for use during a full body mechanical lift transfer. […]

• No harm, potential for more than minimal, patternF812Jan 4, 2024

  Based on observation, review of facility policy, and staff interview, the facility failed to prepare, store, and serve food in a sanitary manner in 1 of 1 kitchen. Failure to monitor the quaternary (quat) sanitizer concentration may result in unsafe food storage/preparation and foodborne illness. Findings include: Review of the facility policy titled Kitchen/Table Pail occurred on 01/04/24. This policy, dated 01/03/24, stated, The kitchen pail is to be used for wiping down hard surfaces in the designated kitchen area. This pail will use our Sani-T-10 [quat] solution from dispenser on wall . is changed out to be tested with QUAC [quat] test strips three times a day per schedule and recorded and whenever changed out. The PPMs for the pail should read 150-400. […]

• No harm, potential for more than minimal, isolatedF880Mar 25, 2026

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 4 sampled residents (Resident #2 and #5) observed during toileting cares and one supplemental resident (Resident #16) observed during medication preparation. Failure to practice infection control standards related to hand hygiene and glove use has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Specific Personal Protective Equipment occurred on 03/24/26. This undated policy, stated, . Hand hygiene . All employees are to wash hands . after removing gloves. Review of the facility policy titled Administratin [sic] of Oral Medication occurred on 03/24/26. […]

• No harm, potential for more than minimal, isolatedF689Jan 4, 2024

  Based on observation, review of facility policy, record review and staff interview, the facility failed to use an assistive device necessary to prevent accidents for 1 of 5 sampled resident (Resident #185) observed during gait belt transfers. Failure to use a gait belt during a transfer resulted in pain to Resident #185 and may result in falls and/or injuries. Findings include: Review of the facility policy titled Gait Belts occurred on 01/04/23. This policy, dated October 2021, stated, . PURPOSE: To prevent injury to the resident . Gaitbelts [sic] are used . when nursing deems necessary. Review of Resident #185's medical record occurred on all days of survey. Diagnoses included repeated falls, pain and mild cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF880Jan 4, 2024

  Based on observation, facility policy review, and staff interview, the facility failed to ensure staff followed standard infection control practices for 2 of 3 sampled residents (Resident #13 and #15) observed during personal cares. Failure to follow infection control practices related to hand hygiene and glove use has the potential to spread infection within the facility. Findings include: Review of the facility policy titled:Hand Hygiene: Use of alcohol-based hand rub occurred on 01/04/24. This policy, revised October 2021, stated, . hand hygiene . before and after resident contact . assisting a resident with personal cares . after contact with resident's skin . bodily fluids or excretions . Review of the facility policy titled; Perineal Care occurred on 01/04/24. […]