Wynscape Health & Rehab

In the surveyor’s words

From the most serious findings on record at Wynscape Health & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 15, 2023

  Based on interview and record review, the facility failed to have precautions in place to ensure a resident was free from serious injury after being served hot liquids. This failure resulted in R1 spilling hot coffee onto his lap and sustaining second-degree burns on his right and left inner thighs. This applies to 1 of 3 residents (R1) reviewed for accidents in the sample of 3. The findings include: On November 13, 2023, at 10:15 AM, R1 was sitting in the dining room in his wheelchair. R1's black pants had dried food and a dried white dripped substance over much of R1's bilateral thigh area. R1 was drinking water from a small, uncovered drinking glass. No other food items were present. R1 was not interviewable due to his cognitive status. […]

• Actual harm, isolatedF689Jul 21, 2022

  Based on observation, interview, and record review, the facility failed to follow R1's care plan and facility policy while conducting a transfer using a mechanical lift. This resulted in R1 falling from a mechanical lift and sustaining a subdural hemorrhage and lacerations that required emergency room services and hospital services. This applies to 1 of 3 (R1) reviewed for safety during transfers. The findings include: The EHR (Electronic Health Record) shows that R1, a [AGE] year-old with diagnoses of Alzheimer's Disease, AHSD ([CONDITION(S)] heart disease), [CONDITION(S)] (hypertension), [CONDITION(S)], history of falling, [CONDITION(S)], major depressive disorder, [CONDITION(S)] and collapse, [CONDITION(S)], dementia, [CONDITION(S)] and mood disorder. […]

• No harm, potential for more than minimal, widespreadF812Jun 7, 2024

  Based on observation, interview, and record review, the facility failed to discard expired food items and failed to store food items in the freezer safely by having ice built up on food packages, the ceiling, and the floor. This affects all 47 residents consuming food from the kitchen. The findings Include: On [DATE], at 9:25 AM, V3 (Dietary Manager) stated that 47 out of 48 residents consume food from dietary services. On [DATE] at 9:20 AM, during an initial kitchen tour, the kitchen dry storage contained five-pounds of grits which expired on [DATE]. On [DATE] at 9:30 AM, the freezer had ice formed on food-containing boxes, including a box of Canadian bacon and a 9-pound box of pita pockets and the boxes were soiled. Ice was built up on the freezer ceiling and floor. […]

• No harm, potential for more than minimal, patternF761Aug 22, 2025

  Based on observation, interview, and record review, the facility failed to remove expired medications. This applies to 6 of 6 residents (R5, R6, R14, R24, R25, R43) reviewed for medication storage in a sample of 18.The findings include:On 8/21/25 at 9:18 AM, the medication storage room had the following items: R25's Metoprolol Tartrate 50 MG (Milligrams) expired 12/31/24 with 30 pills remaining in the box., and R25's Flecainide Acetate 50 MG expired 3/11/25 with 30 pills remaining in the box. R25's face sheet showed she was admitted to the facility with diagnoses including cerebral infarction, paroxysmal atrial fibrillation, and cerebrovascular disease. R24's Phenazopyridine 100 MG expired 2/4/25 with 15 pills remaining in the box. […]

• No harm, potential for more than minimal, patternF689Jul 28, 2023

  Based on observation, interview and record review the facility failed to properly store cleaning supplies and implement fall intervention to ensure residents safety. This applies to 5 of 24 residents (R2, R206, R44, R52, and R22) reviewed for safety. On 7/25/23 at 10:35 AM, in R2 and R206's shared bathroom there was a clear plastic bag tied to a water shut off valve. The unlabeled bag was filled with clear yellow liquid and a toilet brush. On 7/25/23 at 10:50 AM, R44's bathroom had a clear plastic bag tied to a water shut off valve. The unlabeled bag was filled with clear yellow liquid and a toilet brush. On 7/25/23 at 11:02 AM, R52's bathroom had a clear plastic bag tied to a water shut off valve. […]