Windcrest Health and Rehab Inc

In the surveyor’s words

From the most serious findings on record at Windcrest Health and Rehab Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation, interview and facility document review, the facility failed to ensure that the food preparation equipment and environment were maintained in a clean and sanitary condition to prevent contamination and potential development of foodborne pathogens, one of one kitchens and one meal service observed. The findings include:Ice Machine During the initial tour of the kitchen on 06/08/2026 at 11:03 AM this surveyor asked the Dietary Consultant to perform a swipe test on the ice machine where the ice comes from the dispenser with a white paper towel. The Dietary Consultant described what came off on the white paper towel as brown and black specks. During an interview on 06/08/2026 at 11:15 AM, the [NAME] stated the ice machine was cleaned once a week. […]

• No harm, potential for more than minimal, widespreadF814Jun 11, 2026

  Based on observation, interview and facility document review, the facility failed to ensure that the waste was properly contained in the dumpsters, and the area was free from debris. The findings include: During on observation of the dumpsters behind the facility, on 06/08/2026 at 11:10 AM, this surveyor observed the following behind and around the facility dumpsters: pieces of metal a broken bed side table top, one glove, behind the dumpster, two gloves at the front of the dumpster in the ground, and on the right side of the dumpster were four additional gloves on the ground. white plastic grocery bag various scraps of paper. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2022

  Based on observation, interview, and record review, the facility failed to ensure foods stored in the refrigerators, freezers, and dry storage were consistently dated & labeled of when received, opened and/or prepared, failed to ensure foods stored in refrigerators, freezers, and shelves were sealed/closed completely, failed to ensure left-over food products were used or discarded within 3 days, failed to ensure foods being prepared were kept free of contamination by insects to ensure foods were distributed in sanitary conditions, and failed to ensure dish washer sanitizer level was checked with test strips each shift to ensure dishes were washed in sanitary conditions to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen in facility. […]

• No harm, potential for more than minimal, widespreadF865Jul 29, 2022

  Based on observation, record review and interview, the facility failed to follow and implement an appropriate plan of action to correct an identified quality deficiency cited on the 2021 Annual Survey to monitor, track, and evaluate the effectiveness of accurately coding the Minimum Data Set (MDS) Plan for their Quality Assurance Corrective Action/Performance Improvement Activities/Plan (QACAPIAP). This failed practice had the potential to affect 58 Residents residing in the facility according to the Resident Census and Condition of Residents provided by the Nurse Consultant on 7/25/22 at 11:02 AM. The findings are: a. […]

• No harm, potential for more than minimal, patternF584Jun 11, 2026

  Based on observations, interviews and record review, the facility failed to maintain a safe, clean, homelike environment. Specifically, the facility failed to replace missing window blinds that compromised resident privacy during dressing; and failed to replace heavily soiled, stained bed linens and pillows that were left unchanged for multiple days in the resident rooms. The findings include: During an observation of room [ROOM NUMBER]-A on 06/08/2026 at 11:45 AM this surveyor observed a bed made with a bare pillow missing its pillowcase. The pillow itself was heavily soiled with a large, dark brown stain measuring approximately 8 inches in diameter across the center. […]