Wexford House

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 20, 2024

  Based on facility policy review, observations, and interview, the facility failed to ensure kitchen cooking equipment was maintained in a sanitary condition which had the potential to affect 82 of 86 residents. The findings include: Review of the facility's undated policy titled, Pots and Pans-Sanitizing, showed .scrape food particles form [from] pots and pans .scrub pots and pans .rinse pots and pans free .store in proper storage area . Review of the facility's undated policy titled, Sanitization of Equipment, showed .wipe up spills .using clean sanitizing solution .wash .inside and outside and front .scrub interior and exterior .door frames .hinge areas . […]

• No harm, potential for more than minimal, patternF802Jun 18, 2025

  Based on review of facility documentation, observation, and interview, the facility failed to employ staff with the appropriate competencies to maintain and ensure manufacturers guidelines were followed for testing of chemical sanitation for dishwasher use. The findings include: Review of the facility's Dishmachine Temperature Record (Low Temperature Machine) for the month of 6/2025, revealed chlorine rinse recordings of 50 were documented each day, 6/1/2025 - 6/13/2025 for the breakfast, lunch and dinner meals. During an observation on 6/16/2025 at 10:43 AM, the Certified Dietary Manager (CDM), was observed having difficulty reading the strips. […]

• No harm, potential for more than minimal, patternF812Jun 18, 2025

  Based on facility policy review, observation, and interview, the facility failed to ensure kitchen cooking equipment was maintained in a clean and sanitary condition and food was stored, prepared, and served under sanitary conditions which had the potential to affect 80 of 81 residents. The findings include: Review of the facility's undated policy titled, Pots and Pans-Sanitizing, revealed .scrape food particles form [from] pots and pans .scrub pots and pans .rinse pots and pans free .store in proper storage area . […]

• No harm, potential for more than minimal, patternF813Jun 18, 2025

  Based on facility policy review, observations, and interviews, the facility failed to ensure resident personal refrigerator logs were kept up to date and temperatures were within facility policy recommendations, and failed to ensure expired foods were not available for resident use for 5 residents (Resident #17, #39, #51, #58, and #64) of 11 resident refrigerators observe. The findings include: Review of the facility's undated policy titled, Resident Refrigerators, revealed .refrigerators are allowed in a resident's room under the following conditions: refrigerator maintains proper temperatures .facility staff shall record refrigerator temperatures daily on a temperature log .temperatures will be below 41 [degrees] [Fahrenheit] [(F)] .foods with use-by dates shall be discarded accordingly… […]

• No harm, potential for more than minimal, patternF550Mar 20, 2024

  Based on facility policy review, observations, and interviews, the facility failed to ensure staff maintained residents' dignity when residents were served milk products in disposable cartons for 9 residents (Residents #20, #84, #6, #18, #19, #23, #33, #43, and #85) on 3 of 5 hallways observed for meal tray distribution and failed to maintain resident's dignity during feeding for 1 resident (Resident #29) of 3 residents observed for feeding. The findings include: Review of the facility's policy titled, PATIENT/RESIDENT RIGHTS, revised on 7/14/2023, showed .All persons involved in the care of a patient/resident shall respect and support the patient/resident's right to competent, considerate, and courteous treatment or service within our capacity . […]