Wyndridge Health and Rehab CTR

In the surveyor’s words

From the most serious findings on record at Wyndridge Health and Rehab CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Mar 25, 2026

  Based on facility policy review, facility report review, and interview, the facility failed to notify the Long-Term Care (LTC) Ombudsman of resident discharges from the facility timely for 152 residents discharged from 9/3/2025-3/25/2026.The findings include: Review of the facility's policy titled, Transfer and Discharge (including AMA [Against Medical Advice]), dated 5/2025, revealed .The facility's transfer/discharge notice will be provided to the LTC [Long Term Care] Ombudsman .The facility will maintain evidence that the notice was sent to the Ombudsman . Review of a resident discharge report from 9/3/2025-3/25/2026 revealed 152 residents had been discharged from the facility. […]

• No harm, potential for more than minimal, patternF812Mar 25, 2026

  Based on facility policy review, observations, and interview, the facility failed to properly store refrigerated food items, which had the potential to affect 77 out of 85 residents.The findings include:Review of the facility's undated policy titled, Food Storage Guidelines, revealed .'Open Dating' .on a food product .can .help .to know the time limit to .use the product at its best quality .'Use by' date is the last date recommended for the use of the product .The date has been determined by the manufacturer .If a product has a 'use by' date, follow that date .During an observation of the walk-in refrigerator on 3/23/2026 at 9:57AM, with the Certified Dietary Manager (CDM), revealed a turkey breast (approximately 5 pounds) with a manufacturer use by date of 3/20/2026. […]

• No harm, potential for more than minimal, patternF812Nov 30, 2022

  Based on facility policy review, observation, interview, and temperature log review, the facility failed to ensure expired and molded food items were not available for resident use and failed to ensure dry goods were properly stored in 1 of 1 kitchen, and failed to properly store and label food items and maintain a temperature log in 1 of 4 nourishment refrigerators which had the potential to effect 66 of 72 residents. The findings include: Review of the facility's policy titled, Use and Storage of Foods Brought to Residents by Family and Visitors, dated ,d+[DATE], showed .The facility provides safe and sanitary storage and handling of foods brought in from the outside by family and visitors .Food item(s) will be labeled with the resident's name, content, the date it was prepared, if… […]

• No harm, potential for more than minimal, isolatedF584Mar 25, 2026

  Based on facility policy review, observation, and interview, the facility failed to maintain a clean, comfortable, homelike environment for 2 of 4 units observed for a clean, comfortable, homelike environment. Review of the facility's undated policy titled, Housekeeping Services, revealed thorough scrubbing will be used for all environmental surfaces that are being clean in patient care areas .due to the nature of the ventilator unit .cleaning is to be done daily on each shift from housekeeping, nursing staff, and respiratory therapy .Review of the facility's undated policy titled, Housekeeper Job Description, revealed .clean, wash, sanitize, and/or polish bathroom fixtures. […]

• No harm, potential for more than minimal, isolatedF695Mar 25, 2026

  Based on facility policy review, medical record reviews, observations, and interviews, the facility failed to ensure Physician's Orders were obtained for ventilator (a machine or device used to support or replace the breathing of a person who has difficulty breathing on their own) use for 1 resident (Resident #1) of 3 residents reviewed for ventilators, and for tracheostomy (a surgically created opening in the front of the neck leading into the windpipe/trachea) use for 2 residents (Residents #8 and #9)) of 3 residents reviewed for tracheostomies, the facility failed to ensure oxygen was administered according to Physician's Orders for 1 resident (Resident #65) of 23 residents reviewed for oxygen therapy, and failed to safely secure portable oxygen tanks in residents' rooms for 2 residents… […]