Wingate at Silver Lake

In the surveyor’s words

From the most serious findings on record at Wingate at Silver Lake, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 3, 2022

  Based on observation and staff interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility 1. Failed to handle ready to eat food (food which does not require cooking or further preparation prior to consumption) utilizing proper hand hygiene to prevent cross contamination; 2. Failed to have soap available at the hand washing station resulting in staff returning to food preparation without performing proper hand hygiene; 3. Failed to properly store frozen food items to prevent contamination in the walk in freezer; 4. […]

• No harm, potential for more than minimal, patternF686Mar 25, 2025

  Based on observations, interviews, and records reviewed, the facility failed to ensure three Residents (#97, #51, and #83), out of a total sample of 30 residents, received care and treatment to promote healing of a pressure ulcer. Specifically, the facility failed: 1. For Resident #97, to implement treatments from the wound consultant physician for a Stage 3 pressure ulcer (full-thickness loss of skin) on the right foot; 2. For Resident #51, to implement a treatment that included an antimicrobial wash for eight months to a Stage 4 pressure ulcer (full-thickness skin and tissue loss) on the coccyx (tailbone, area at the base of the spine); and 3. […]

• No harm, potential for more than minimal, patternF880Mar 25, 2025

  Based on record review and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed: 1. To implement an infection surveillance plan to identify, track, and monitor for infection; and 2. For Resident #77, to provide hand hygiene prior to meals and after the Resident handled his/her indwelling urinary catheter bag. […]

• No harm, potential for more than minimal, patternF692Feb 8, 2024

  Based on observations, interviews, and record review, for one Resident (#57) of 29 sampled residents, the facility failed to monitor the Resident's fluid intake to ensure that he/she was not exceeding the physician ordered fluid restriction while maintaining adequate hydration. Findings include: Review of the facility's policy, titled Hydration (Intake and Output Monitoring), dated as revised July 2023, indicated but was not limited to: -When a Provider orders a fluid restriction due to specific clinical condition, close monitoring of fluid intake will be provided to maintain adequate hydration. […]

• No harm, potential for more than minimal, patternF730Feb 8, 2024

  Based on staff interview and record review, the facility failed to complete performance reviews at least every 12 months for 3 of 3 Certified Nursing Assistant (CNA) files reviewed. Findings include: During an interview on 2/8/24 at 9:34 A.M., the Human Resource Director (HRD) said she maintains the personnel files for all staff. The surveyor requested personnel files for three CNAs, including CNA #7, CNA #8, and CNA #9. Review of CNA #7's personnel file indicated she was hired on 5/9/2022, and she did not have an annual review in 2023. Review of CNA #8's personnel file indicated he was hired on 7/19/2019. His last completed annual review was completed 2021-2022, and he did not have an annual review in 2023. […]