Woods at Sparta of Journey LLC, The

In the surveyor’s words

From the most serious findings on record at Woods at Sparta of Journey LLC, The, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 11, 2024

  Based on record review, staff and resident interviews, review of the facility policy titled, Incidents and Accidents, facility's tool titled Electrical Stimulation Prep, Precautions, and Contraindications, and Operational Manual, the facility failed to ensure three of 19 sampled residents (R) (R14, R15, R30) were free of accidents and hazards. Actual harm occurred on 6/5/2024, when physical therapy staff failed to oversee an electrical stimulation (e-stim) treatment (a device that sends electrical impulses through electrodes attached to the skin to help with physical therapy and fitness) treatment for R14, resulting in a burn to the right leg with 100% slough in the wound bed. […]

• Actual harm, isolatedF940Aug 11, 2024

  Based on observation, staff and resident interviews, record review, and a review of the facility's Facility Assessment, the facility failed to ensure the physical therapy staff were informed or educated prior to applying an electronic medical device for electrical stimulation treatment (also known as e-stim, which is a treatment method often used in physical therapy and pain management to deliver mild electrical currents through the patient's skin to either target the muscles to stimulate quicker recovery or the nerves to reduce pain) for one of one resident (R) (R 14). Actual harm occurred on 6/5/2024, when physical therapy staff failed to oversee an e-stim treatment for R14, resulting in a burn to the right leg with 100% slough in the wound bed. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observation, staff interviews, and review of the facility's policy titled Food Safety Requirements, the facility failed to ensure sanitary conditions in the kitchen. This deficient practice had the potential to place the 37 residents who received food or nutrition from the kitchen at increased risk of foodborne illness. Findings include:Review of the facility's policy titled Food Safety Requirements, reviewed 7/2025, revealed the Definition section included, Contamination means the unintended presence of potentially harmful substances, including, but not limited to, microorganisms, chemicals, or physical objects.Observation on 12/9/2025 at 9:30 am with the Dietary Manager (DM) in the kitchen revealed one window-unit air conditioner (AC) located above a countertop with a dish rack… […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2024

  Based on observations, staff interviews, and review of the facility policies titled Manual Warewashing-3 Compartment Sink and Food Receiving and Storage, the dietary staff failed to prevent wet nesting with stacks of steam table pans to prevent bacteria growth, failed to store food items off the floor in the dry storage area, and failed to demonstrate the proper usage of the three compartment sink to prevent cross-contamination. The deficient practices had the potential to place 40 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF814Aug 11, 2024

  Based on observations and staff interviews, the facility failed to properly maintain one of two dumpsters to prevent leakage onto the ground. The facility census was 40 residents. Findings include: Observation on 8/9/2024 at 9:00 am of the dumpster area revealed that the facility had two medium-sized dumpsters located on asphalt behind the building. The dumpster closest to the building was missing the plug located towards the bottom of the dumpster. Continued observation of this dumpster revealed a liquid substance actively dripping from the unplugged hole. During an interview on 8/9/2024 at 9:00 am, the Dietary Manager (DM) confirmed that no plug was in place at the bottom of the dumpster. […]