Winfield Senior Living Community

In the surveyor’s words

From the most serious findings on record at Winfield Senior Living Community, in the surveyor’s own words.

• Immediate jeopardy, patternF678Nov 29, 2021

  The facility reported a census of 40 residents with 13 included in the sample. Based on interview and record review, the facility failed to initiate cardiopulmonary resuscitation (CPR- emergency medical procedure for restoring normal heartbeat and breathing to victims of heart failure, drowning, etc.) on one sampled Resident (R)1, who had a Full Code (CPR desired to be performed if found without respiration and/or a pulse) status when staff found her unresponsive and without a pulse. This failure had the potential to also affect the 13 other residents of the facility that desired resuscitation which could lead to serious harm or death. This practice placed the other 13 residents in immediate jeopardy. […]

• Immediate jeopardy, isolatedF600Oct 3, 2022

  The facility reported a total of 41 residents with three residents in the sample with one resident reviewed for lack of supervision. Based on observation, record review, and interview the facility neglected to ensure cognitively impaired Resident (R) 1's safety while she remained outside of the facility, unsupervised, from 03:00 PM to approximately 04:50 PM (1 hour and 50 minutes), in temperatures of about 97 degrees Fahrenheit (F). The facility further failed to check on the resident's wellbeing or provide her fluids. This failure resulted in R1 having an altered mental status, a body temperature of 102.5 degrees F, required emergency medical services response, and she transferred/admitted to the local hospital. This failure placed R1 in immediate jeopardy. […]

• Immediate jeopardy, isolatedF689Oct 3, 2022

  The facility reported a census of 43 residents and identified 10 that resided on the memory care unit. The sample of four residents included three reviewed for accidents. Based on observations, interview, and record review, the facility failed to provide an environment as free as possible of accident hazards for one of the three residents, cognitively impaired Resident (R1), on 08/12/22 at 01:01 PM, when the facility staff removed the bathroom door from the residents' room and placed the bathroom door in another room just across the hall, that was unsecured and unoccupied, on the Memory Care Unit. On 09/25/22, at approximately 01:12 PM, Certified Nurse Aide (CNA) M observed that R1 was not in her room. […]

• Actual harm, isolatedF692Apr 19, 2023

  The facility reported a census of 43 residents with 14 residents sampled, including one resident reviewed for hydration. Based on observation, interview, and record review, the facility failed to provide adequate hydration for dependent resident R99, who was observed with dry lips and mouth, deep grooves in her tongue, an empty water cup, water out of reach of the resident, several staff provided cares but did not offer water, R99 cried and moaned asking for water, and her EMR recorded she received only two to four cups of water daily from 04/12/23-04/18/23. Findings included: - Review of Resident (R)99's electronic medical record (EMR), included a diagnosis of rheumatoid arthritis (chronic inflammatory disease that affected joints and other organ systems). […]

• No harm, potential for more than minimal, widespreadF838Feb 6, 2025

  The facility identified a census of 72 residents. The sample included 13 residents. Based on observations, interviews, and record reviews, the facility failed to conduct a thorough facility-wide assessment to determine the resources necessary to care for residents competently during both day-to-day operations and emergencies. This failure affected all 72 residents residing in the facility. Findings Included: - On 02/05/25, Administrative Nurse D provided a Facility Assessment updated 08/08/24. […]