Winslow Campus of Care

In the surveyor’s words

From the most serious findings on record at Winslow Campus of Care, in the surveyor’s own words.

• Immediate jeopardy, patternF600Aug 25, 2023

  Based on clinical record reviews, staff interviews, reviews of facility investigative documentation, policy and procedure, the facility failed to ensure residents (#106, #84, #90) were free from abuse by failing to protect the residents from further abuse from alleged perpetrators. The deficient practice put residents at increased risks for further abuse. As a result, the Condition of Immediate Jeopardy (IJ ) and Substandard Quality of Care (SQC) were identified. Findings include: On August 22, 2023 at 3:02 p.m., a condition of IJ was identified. The administrator and the Director of Nursing were infomred of the facility's failure to ensure residents were free from abuse by failing to protect the residents from further abuse from the alleged pertpetrator. […]

• Immediate jeopardy, isolatedF678Oct 25, 2024

  Based on record reviews, staff interviews and reviews of facility policies and procedures, the facility failed to ensure that basic life support, including CPR (cardio-pulmonary resuscitation) in accordance to the advance directives for one resident (#1). The deficient practice resulted in actual harm to the resident and has the potential to result in advance directives not being followed for additional residents. As a result, the condition of Immediate Jeopardy (IJ) and Substandard Quality of Care was identified. Findings include: On [DATE] at 4:25 p.m., a condition of IJ was identified. The administrator and the director of nursing (DON) were informed of the facility's failure to ensure that CPR was provided for resident #1. […]

• Actual harm, isolatedF600May 15, 2024

  Based on clinical record reviews, observations, staff interviews, and review of current facility practices and policies, the facility failed to protect the rights of one of 5 sampled residents (#103) to be free from neglect; and, the facility failed to ensure 28 of 52 sampled residents (#'s 111, 1, 24, 70, 109, 56, 124, 6, 114, 101, 99, 44, 116, 97, 31, 41, 26, 33, 115, 105, 68, 107, 102, 95, 35, 38, 57, 120) were free from abuse. Failure to prevent neglect or abuse could result in residents more residents being neglected or abused. Findings include: Regarding Resident #103 -Resident #103 was admitted to the facility for hospice respite services on [DATE] with diagnoses of malignant neoplasm of the kidney, malignant pleural effusion, and acute respiratory failure with hypoxia. […]

• No harm, potential for more than minimal, widespreadF727May 15, 2026

  Based on resident and staff interviews, facility documentation and policy review, the facility failed to ensure the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week. The census was 100 residents. The deficient practice could result in residents not receiving appropriate care and treatment that they need.Findings include: The Payroll-Based Journal (PBJ) Staffing Data Report revealed that the facility consistently triggered for one star staffing rating for all four quarters of 2025. The PBJ also revealed that the facility triggered No RN Hours for quarters 1 and 2 of 2025. […]

• No harm, potential for more than minimal, patternF880May 15, 2026

  Number of residents sampled: Number of residents cited: Based on observations, staff interviews, and facility policy review, the facility failed to ensure proper hand hygiene was conducted during medication administration. The deficient practice could result in contaminated medications being administered to residents along with medication contamination, and potential infection . Findings:During the Medication Administration observation with the Licensed Practitioner Nurse (LPN / Staff #196) on May 14, 2026, at 9:00 AM in the 400 hallway, it was observed that the LPN (Staff #196) had nearly finished administering medications to Resident # 410. The LPN then returned to the medication cart without performing hand hygiene and proceeded to administer the medications to another resident # 499. […]