Windsormeade of Williamsburg

In the surveyor’s words

From the most serious findings on record at Windsormeade of Williamsburg, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Apr 17, 2026

  Based on observations and staff interviews, the facility staff failed to ensure that expired medications were not accessible for administration. The findings included: On 4/17/26 at approximately 11:35 AM, an inspection of the medication room was completed with Registered Nurse (RN) #1. Inside the refrigerator, among other medications available for administration, a bottle of Lorazepam Concentrate 2mg/ml was identified in the locked box. The Lorazepam bottle was filled on 01/17/2024 and had an expiration date of 01/2026. RN #1 stated that the direct care nurses notify the Director of Nursing (DON) of medications that need to be removed, and it was the DON who was responsible for destroying discontinued medication. […]

• No harm, potential for more than minimal, patternF812Apr 6, 2023

  Based on observation, interview, and review of facility policy, the facility failed to ensure foods stored in the refrigerator were labeled and dated when opened. They also failed to make sure pans were clean when they came out of the dishwasher before stacking them. Findings include: Review of the facility's policy titled, Storage of Refrigerated Foods, dated 04/01/22, stated All prepared food that is leftover, should be labeled, dated, and used within three days. All raw food items should be labeled, dated, and used within six days. Review of the facility's policy titled, Temperature Log, dated 04/01/22, stated All food preparation equipment, dishes, and silverware, should be effectively sanitized and cleaned to destroy potential disease. […]

• No harm, potential for more than minimal, patternF886May 19, 2022

  Based on clinical record review, staff interview, and facility documentation review, the facility staff failed to conduct COVID-19 testing in accordance with the Centers for Disease Control and Prevention (CDC) guidance for 2 Residents, Residents #168 and #170, in a sample of 3 Residents reviewed for new admission COVID-19 testing. The findings included: 1. For Resident #168, the facility staff failed to conduct a second COVID-19 test following her admission to the facility. On 5/18/22, a clinical record review was conducted and revealed facility staff performed and documented a negative COVID-19 test for Resident #168 on 5/9/22, the date of admission to the facility. There was no evidence of any further COVID-19 testing for Resident #168. […]

• No harm, potential for more than minimal, isolatedF557Apr 17, 2026

  Based on observation and staff interviews, the facility's staff failed to maintain dignity during wound care for 1 of 21 residents (Resident #20) in the survey sample.The findings included: Resident #20 was originally admitted to the facility 4/03/26. The residents' diagnoses included Type 2 diabetes mellitus without complications, and Muscle weakness, generalized.The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 4/07/26 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 13 out of a possible 15. This indicated Resident #20's cognitive abilities for daily decision making were intact.The April 2026 Physician Order Summary (POS) Reads: Cleanse sacrum with normal saline (NS). Pat dry. Apply Medi honey to wound bed. […]

• No harm, potential for more than minimal, isolatedF658Apr 17, 2026

  Based on observations, staff interviews, and a review of the clinical record, the facility staff failed to adhere to professional standards during medication administration for 1 of 21 residents in the survey sample (Resident #16). The findings included: Resident #16 was admitted to the facility on [DATE]. The resident's current diagnoses included anemia. The admission Minimum Data Set (MDS) assessment, with an assessment reference date (ARD) of 4/7/2026, coded that the resident completed the Brief Interview for Mental Status (BIMS) and scored 14 out of 15. This indicated that Resident # 16's cognitive abilities for daily decision-making were intact.The Physician's Order Summary had an order dated 4/1/26, for Ferrous Sulfate Oral Tablet 27 MG. Give 1 tablet by mouth once daily for anemia. […]