Williamsburg Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Williamsburg Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Dec 10, 2025

  Based on observation, interview, and facility policy review, the facility failed to label and date food items in 2 (100 Unit and 300 Unit) of 3 unit refrigerators. This had the potential to affect all the residents who resided on 2 (100 Unit and 300 Unit) of 3 units in the facility.Findings included:An undated facility policy titled, Protocol for Foods Brought in From Family/Visitors, revealed, Policy: Recognizing that residents receiving foods brought in by family and friends has a positive association with their quality of life, we encourage family and friends to bring in items for their loved ones. Foods should be Checked In at Nurses' Station prior to delivering to the resident. […]

• No harm, potential for more than minimal, isolatedF600Dec 10, 2025

  Based on interview, record review, document review, and facility policy review, the facility failed to protect a resident's right to be free from verbal abuse by a staff member for 1 (Resident #65) of 1 sampled resident reviewed for abuse.Findings included: A facility policy titled, Abuse, Neglect, Misappropriation and Exploitation Policy, revised 07/2024, indicated, Our facility does not condone or tolerate resident abuse (this includes verbal abuse, sexual abuse, physical abuse and mental abuse), neglect, misappropriation or exploitation under any circumstances by anyone, including staff members, other residents, consultants, volunteers, staff of other agencies serving or visiting the resident, family members, legal guardians, sponsors, friends, or other individuals. […]

• No harm, potential for more than minimal, isolatedF623Oct 24, 2024

  42440 Based on interview, record review, and facility policy review, the facility failed to provide written notification of a facility-initiated transfer to the resident and responsible party (RP) and failed to provide documentation of ombudsman notification for three of three residents (Resident (R) 22, R27, and R68) reviewed for hospitalization out of 25 sample residents. The failure had the potential to affect the residents and/or their representatives' notification related to transfers. […]

• No harm, potential for more than minimal, isolatedF625Oct 24, 2024

  Based on record review, interviews and facility policy review, the facility failed to provide written notification regarding the facility policy for bed hold, which included the duration of the bed-hold and payment, if any, during which the resident was permitted to return and resume residence in the nursing facility for three of three residents (Resident (R) 68, R22, and R27) reviewed for hospitalization of 25 sample residents The failure had the potential to affect the residents and/or their representatives notification related to bed holds. […]

• No harm, potential for more than minimal, isolatedF636Oct 24, 2024

  Based on interview, record review, facility policy review, and review of Centers for Medicare & Medicaid Services' Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, the facility failed to ensure an Admission Minimum Data Set (MDS) assessment was completed within 14 days of admission for one of 25 sampled residents (Resident (R) 200). This failure placed the resident at risk for unmet care needs due to the lack of a timely comprehensive assessment. Findings include: Review of the facility's policy titled, MDS [Minimum Data Set], revised July 2024, revealed .2. […]