Williamsburg Post Acute & Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 30, 2022

  Based on staff interviews, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff neglected to provide goods and services to one Resident (Resident #316) in a sample size of 32 Residents. For Resident #316, the facility staff failed to provide adequate hydration for over 24 hours after a registered nurse assessed that Resident #316 was dehydrated. Resident #316 was hospitalized and treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings included: On 03/27/2022 and 03/28/2022, Resident #316's clinical record was reviewed. Resident #316's most recent Minimum Data Set with an Assessment Reference Date of 12/16/2021 was coded as a quarterly assessment. […]

• Actual harm, isolatedF658Mar 30, 2022

  Based on staff interviews, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to provide care according to professional standards of practice for one Resident (Resident #316) in a sample size of 32 Residents. For Resident #316, the facility staff failed to: 1) convey Resident #316's dehydration status to the on-call physician 2) document assessment findings 3) address the dehydration status in a timely fashion after a registered nurse assessed that Resident #316 was dehydrated which resulted in hospitalization and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings included: On 03/27/2022 and 03/28/2022, Resident #316's clinical record was reviewed. […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2023

  Based on observation and staff interview, the facility staff failed to heat sanitize dishware on rinse cycle at an adequate temperature in the industrial dish washing machine, potentially impacting 70 of 72 residents in the facility. The machine was restored to sanitize rinse temperature on the third day of survey in accordance with the professional standards for food service safety. The findings included: The industrial dish machine only reached a temperature of 150 to 160 degrees at the manifold where the temperature gauge is located, and it should be at 180 degrees for high temperature sanitizing of dishware to prevent food borne illness. […]

• No harm, potential for more than minimal, widespreadF865Oct 20, 2023

  Based on staff interview and facility documentation review, the facility staff failed to maintain an effective Quality Assurance and Performance Improvement (QAPI) program, having the potential to affect all 72 residents residing in the facility. The findings included: The facility staff failed to maintain an effective QAPI program that was sustained during transitions in leadership and staffing, regarding call bells, abuse protocol, and resident and staff immunizations. Throughout the survey conducted 10/17/2023 - 10/20/2023, the survey team inspected and investigated the facility's systems and processes regarding correcting previously cited deficiencies and resident care concerns. […]

• No harm, potential for more than minimal, patternF755Nov 14, 2025

  Based on interview clinical record review and facility documentation the facility staff failed to ensure routine medications were available to be administered to 3 residents (#'s 1, 2, and 3) in a survey sample of 3 residents.1, For Resident #1 the facility staff failed to ensure that routine medications were available for administration to the resident. Resident #1 was admitted to the facility on [DATE] with diagnoses that included but not limited to hemiplegia and hemiparesis following cerebral infarction (stroke), heart failure, atrial fibrillation, dysphagia, hypertension, pneumonia, history of repeated falls, major depressive disorder, and insomnia. […]