Winchester Gardens Health Care Center

In the surveyor’s words

From the most serious findings on record at Winchester Gardens Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 5, 2025

  REPEAT DEFICIENCY Based on observation, interview, record review and policy review, it was determined that the facility failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination from foreign substances and potential for the development a food borne illness. This deficient practice was evidenced by the following:On 9/2/2025 at 10:00 AM, in the presence of the Food Services Director, the surveyor observed the following: In the food preparation area, the surveyor observed a thick black grease-like substance on 3 of the 12 burner stoves. The residue was easily dislodged using the tip of a pen. NJAC 8:39-17.2(g)

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  REPEAT DEFICIENCY Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices as well as store potentially hazardous foods in a manner to prevent food borne illness. This repeat deficient practice was observed and evidenced by the following: On 5/28/24 at 06:01 PM, while on 4th floor, in the area labeled Den, the surveyor observed a staff refrigerator with signage that stated, all items must be labeled with name and date. The surveyor observed a 2 liter bottle of Coke Cola, a container of salad and brown bag with a container of food. All items were missing labels including names and dates. […]

• No harm, potential for more than minimal, widespreadF812Oct 4, 2022

  Based on observation, interview, and review of facility policy, the facility failed to: 1. ensure food was stored in a sanitary manner; 2. ensure dishes and pans were air dried and not dried by a standing fan that had dust on it; 3. ensure kitchen equipment was clean; 4. ensure proper hand hygiene while handling food; 5. ensure sanitizing buckets used to sanitize counters was adequate; and 6. ensure steam tables had water in them to keep food at the appropriate temperature. These failures had the potential to affect 17 out of the 18 residents who ate food prepared by the kitchen. Findings include: The following observations in the kitchen were made with and verified by the Director of Culinary Services (DCS) and the Resource Chef (Chef): 1. […]

• No harm, potential for more than minimal, patternF842May 31, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to maintain complete and readily accessible medical records. This deficient practice was identified for 6 of 15 residents reviewed (Resident # 4, 17, 19, 7, 11, 18). This deficient practice was evidenced by the following: 1. The surveyor reviewed the hybrid (paper and electronic) medical records of Resident #4. According to the Admission Record (AR) (an admission summary), Resident #4 had diagnoses that included but were not limited to: Hypertension, Glaucoma, Anemia and Chronic Obstructive Pulmonary Disease. […]

• No harm, potential for more than minimal, isolatedF842Feb 20, 2026

  COMPLAINT #2706331, 2717796 Based on interviews, review of medical records and other pertinent facility documentation on 2/19/26 and 2/20/26, it was determined that the facility failed to maintain a complete medical record when no evidence was provided that : 1) a private aide assigned to Resident #1 was educated on the resident's care needs, and 2) Resident #3's vital signs and pain level were assessed when their foley catheter became dislodged. This deficient practice was identified for 2 residents reviewed (Resident #1 & Resident #3) and was evidenced by the following:1). Resident #1 was not at the facility at the time of the survey. A closed record review was conducted. […]