Wexford Senior Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 7, 2021

  This citation refers to intake(s): MI 263, MI 633 Based on interview and record review, the facility failed to provide adequate supervision for safety to prevent falls and failed to develop and implement appropriate interventions to prevent further falls for two Residents (#1, #2) of three Residents reviewed for falls. This deficient practice resulted in repeated falls with subsequent injuries requiring hospitalization for Resident #1. Findings include: Resident #1 A review of Resident #1's electronic medical record (EMR) revealed an admission to the facility on [DATE] with diagnoses including: left femur fracture, muscle weakness, difficulty in walking, and chronic pain. Resident #1 discharged from the facility to the community on 11/30/21. […]

• Actual harm, isolatedF600Apr 8, 2021

  Based on interview and record review, the facility failed to prevent Resident to Resident physical abuse, resulting in harm for one Resident (#18) of four residents reviewed for abuse. This deficient practice resulted in a fall with injury (fractured left hip) requiring surgical repair. Findings include: Intake Number: MI 613 Review of Resident #18's Minimum Data Set (MDS) assessment, reference date 4/16/20, and Face Sheet, print date 4/8/21, revealed Resident #18 was admitted to the facility on [DATE] with the following Diagnoses: [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #18 scored a 99 on the Brief Interview for Mental Status (BIMS), which indicated she was unable to complete the interview. […]

• No harm, potential for more than minimal, widespreadF812Aug 14, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among any and all 62 residents. Findings include: On 8/13/24 at approximately 11:45 AM, the steam table located in the kitchen was observed to have food ready for the noon meal. [NAME] B was asked if the food in the steam table was at proper temperature and ready to be served. [NAME] B stated it was. A stainless steel hotel pan containing what was identified by [NAME] B to be ground meat for the noon meal and was prepared for the specified ground texture diet. […]

• No harm, potential for more than minimal, widespreadF812Jul 25, 2022

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: A. Failing to ensure four of four ice machines and dispensers were cleaned in a manner which prevented the potential contamination of ice used by residents. B. Failing to ensure expired food was discarded. C. Failing to maintain a freezer in a sanitary condition. This deficient practice has the potential to result in food borne illness among any or all 76 residents in the facility. Findings include: A. […]

• No harm, potential for more than minimal, widespreadF880Jul 25, 2022

  This citation has two dificiency practice statements (DPS) and will be labled as DPS A and DPS B. DPS A Based on interview and record review, the facility failed to develop a comprehensive Water Management Plan (WMP) to address the control and spread of Legionella bacteria in the facility water system, in accordance with QSO 17-30 Hopsitals/CAHs/NH, Revised 7-6-2018. The facility failed to develop and implement a water management program that considers the ASHRAE 188 (American Society of Heating, Refrigerating and Air-Conditioning Engineers) and the CDC (Centers for Disease Control) tool kit. […]