Winston County Nursing Home

In the surveyor’s words

From the most serious findings on record at Winston County Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF656Jun 18, 2026

  Based on observations, interviews, record reviews, facility document review, and facility policy review, the facility failed to develop and implement care plans to address a physician-ordered fluid restriction for two (2) of five (5) dialysis residents, Resident #43 and Resident #58. Findings include: Record review of the facility policy titled Care Plan, revised 2/1/23, revealed under Purpose: To direct resident care from admission to discharge. Resident #43 Record review of Resident #43's dialysis Care Plan revealed Hemodialysis – I am at increased risk for complications related to I have diagnosis of: ESRD (end stage renal disease) with hemodialysis. […]

• Actual harm, isolatedF698Jun 18, 2026

  Based on observations, interviews, record review, facility document review, and facility policy review, the facility failed to ensure a physician-ordered fluid restriction was implemented and monitored for three (3) of five (5) dialysis residents. Resident #12, #43, and #58. Findings Include: Record review revealed that the facility does not have a policy and presented a statement on facility letterhead dated 06/17/26, that stated, (Proper name) nursing home does not have a policy specific to fluid restrictions on dialysis residents, signed by the Administrator. Resident #12An observation and interview with Resident #12 on 6/16/26 at 8:30 AM revealed she was lying in bed. A 32-ounce water pitcher full of ice water was located on the bedside table. […]

• Actual harm, isolatedF656Mar 29, 2023

  Based on staff interview, record review and facility policy review the facility failed to implement the care plan related to transfers for one (1) of nine (9) care plans reviewed. Based on implementation of the facility's corrective actions on 2/20/23, this was determined to be Past Non-Compliance. (Resident #1) Findings include: A record review of the facility's policy titled Care Plan, revealed, Purpose: To direct resident care from admission to discharge . Procedure: 10.) Customize the care plan to address the resident's individual concerns and needs . […]

• Actual harm, isolatedF689Mar 29, 2023

  Based on record review, resident and staff interviews, and facility policy review, the facility failed to ensure a resident was free of accidents and or hazards during transfer when two (2) staff physically lifted the resident under her arms and transferred her from her chair to the bed without using a mechanical lift resulting in a distal femur fracture for one (1) or six (6) residents reviewed for accidents. Based on implementation of the facility's corrective actions on 2/20/23, this was determined to be Past Non-Compliance. (Resident # 1) Findings include: The facility policy titled USE OF HYDRAULIC LIFT, HOYER LIFT, revised 9/9/2014, revealed Purpose: To reduce the risk of injury to residents and or staff related to transfer of dependent or obese residents . […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2026

  Based on observation, staff interview, and facility policy review, the facility failed to store foods in kitchen refrigeration that was maintained in a clean, sanitary condition and good repair for one (1) of two (2) kitchen tours. Findings Include:Review of the facility policy titled Food Handling Guidelines: Cooling Process and Cold Holding, revised 4/26, revealed under, Policy: . An effective preventative maintenance plan is in place for each piece of food service equipment. […]