Washington Care Center

Based on observation, staff interviews and facility policy review the facility failed to ensure items in the kitchen refrigerator were dated and labeled and failed to discard food items by the expiration date for one (1) of three (3) dietary tour observations. Findings Include:Review of the facility policy titled, Food Storage Labeling, with a revision date of 08/12, revealed The facility will ensure the safety and quality of food by adhering to proper storage and labeling procedures. 1. a. All temperature-controlled foods and ready to eat foods that are prepared in the facility and held for longer than twenty-four hours will be labeled. Information included on the label: Name of the Food, Date of storage. b. Foods stored in storage units will be surveyed routinely to identify and discard foods that have passed its manufacturer use-by date or expiration date .An observation and interview on the initial tour of the kitchen on 04/28/2026 at 10:15 AM, with the Dietary Manager (DM) revealed in refrigerator number two (#2) a plastic gallon-size bag with no date and no label, the DM…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, staff interview, and facility policy review, the facility failed to accurately code Section A of the Minimum Data Set (MDS) for a resident identified with a serious mental illness (SMI) through the Preadmission Screening and Resident Review (PASRR) Level II process for one (1) of (16) MDS assessments reviewed. Resident #9Findings include:Review of the facility policy titled Resident MDS Assessment, revised 9/9, revealed, An assessment will be completed on each resident utilizing the MDS. The completed assessment guides staff in identifying key information about the resident and serves as a basis for identifying resident-specific issues and objectives in order to develop a care plan. This process assists the resident in reaching the highest practicable physical, mental, and psychosocial well-being .Record review of Resident #9's Preadmission Screening and Resident Review Summary of Findings Report, dated 5/8/23, revealed under Mental Health, the individual meets criteria for having a diagnosis of mental illness as defined by PASRR. The report further revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure the implementation of the resident's care plan for oral hygiene for one (1) of (16) care plans reviewed. Resident #4 Findings Include:Record review of the facility policy titled Care Plan Process, revised 12/24, revealed, The facility shall use the results of the assessments to develop, review, and revise the resident's comprehensive plan of care. The facility staff shall follow the care plan.Record review of Resident #4's Care Plan Report revealed under, Focus: Resident is dependent with oral hygiene. Further review revealed under, Interventions: Provide oral hygiene as needed. Provide X (times) 1 (one) staff with oral care at least two times a day & (and) or as indicated.On 4/29/26 at 12:58 PM, observation of Resident #4 revealed he was lying in bed and was non-verbal. The resident's lips were dry with dried particles of peeling skin noted on the lower lip. The lower teeth were covered in a light orangish-colored substance with yellowish-green secretions observed inside…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, record review, and facility policy review, the facility failed to provide oral care to a resident dependent on staff for Activities of Daily Living (ADLs) care for one (1) of three (3) residents reviewed for ADLs. Resident #4 Findings Include:Review of the facility policy titled Oral Hygiene, revised 1/24, revealed under Purpose: To clean the mouth, teeth, and gums; To remove particles of food; To remove bacteria and odor; To provide comfort to the resident; To keep the mouth moist.Record review of Resident #4's Order Summary Report revealed an order dated 1/23/26 for NPO (nothing by mouth) diet.An observation on 4/28/26 at 10:38 AM revealed Resident #4 was lying in bed with upper and lower lips that were dry, with cracking and peeling skin on the lower lip. The resident's lower teeth were covered in a thick white substance.An observation on 4/29/26 at 12:58 PM revealed Resident #4 was lying in bed and was non-verbal. The resident's lips were dry with dried particles of peeling skin noted on the lower lip. The lower teeth were covered in a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and staff interviews, the facility failed to ensure the administration of the influenza vaccine in accordance with facility policy to prevent the spread of infection for one (1) of five (5) residents reviewed for immunizations. Resident #10.Findings Include:Review of the facility policy titled Influenza Vaccination Program for Employees and Residents, revised 1/24, revealed, It is the policy of this facility to provide employees and residents with influenza vaccination every year between October and March. This is consistent with recommendations from the CDC (Center for Disease Control and Prevention) and state and local health departments.Record review of Resident #10's Vaccine Information and Consents revealed the Responsible Representative (RR) consented for the resident to receive the annual influenza vaccine on 2/3/26.Record review of Resident #10's Clinical Immunizations revealed that under Influenza Seasonal, the resident was documented as not eligible for the vaccine. The record also indicated the resident was admitted after flu season, with this entry…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview and record review, the facility failed to submit accurate staffing information into the Payroll-Based Journal (PBJ) system for one (1) of four (4) quarters reviewed. Second (2nd) Quarter 2024. Findings include: Review of the facility PBJ (Payroll-Based Journal) Instructions with a revision date of February 3, 2020 revealed, PBJ = Payroll-Based Journal - Mandated by CMS (Centers for Medicare and Medicaid Services). Each location must collect time worked by contract workers. The corporate office will submit at regular intervals Review of the PBJ (Payroll-Based Journal) Staffing Data Report revealed the facility triggered for excessively low weekend staffing data for the 2nd Quarter 2024 [NAME] report from CMS.Triggered=Submitted Weekend Staffing data is excessively low. An interview with the Administrator on 8/20/2024 at 9:25 AM, revealed, she was not aware of the facility triggering on the [NAME] report for low weekend staffing data and stated the corporate office was responsible for submitting the PBJ. She revealed the facility had been using agency staff…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on resident and staff interview, record review, and facility policy review, the facility failed to accurately code a quarterly Minimum Data Set Assessment (MDS) for one (1) of 16 resident assessments reviewed. (Resident # 11) Findings include: Review of the facility policy titled, Resident Assessment, with the latest revision 09/19 revealed, .The completed assessment guides the staff in identifying key information about the resident's specific issues and objectives to develop a care plan . Any healthcare professional that completes a portion of the assessment must sign and certify the accuracy of the portion of the assessment that they have completed . In an interview with Resident #11 on 8/20/24 at 11:00 AM, she revealed she was not on or receiving Hospice services. Record review of Resident #11's Section C of the Quarterly MDS revealed on 7/08/24 a Brief Interview for Mental Status (BIMS) score was 13 indicating the resident was cognitively intact. Section: O- Special Treatments, Procedures, and Programs was coded Hospice services while a resident. In an interview with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview, record review, and facility policy review, the facility failed to ensure a resident on a PRN (as needed) psychotropic medication had a stop date for one (1) of five (5) medication reviews. Resident #40 Findings Include: Review of the facility policy titled, Psychotropic Medication, revised 10/22, revealed Residents do not receive psychotropic drugs pursuant to a PRN (as needed) order unless that medication is necessary to treat a diagnosed a specific condition that is documented in the clinical record; and PRN orders for psychotropic drugs are limited to 14 days. Review of the Order Summary Report with active orders as of 8/21/24 for Resident #40 revealed an order dated 7/5/2024, Xanax oral tablet 0.5 mg (milligram) (Alprazolam) give (1) tablet by mouth every 6 (six) hours as needed for agitation . There was no stop date for the order. Review of the August 2024 Medication Administration Record (MAR) for Resident #40 revealed the resident received Xanax 0.5 mg on the following dates: 8/3, 8/4, 8/8, 8/9, 8/10, 8/13, 8/14, 8/15, 8/16, 8/18, 8/19, 8/20, 8/21.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on resident representative and staff interview, record review and facility policy review the facility failed to honor a resident's right to return to the facility following a hospitalization for one (1) of three (3) residents reviewed for discharge. Resident #1. Findings Include: Record review of facility policy titled, Discharge Transfer and Planning , revised 9/23, revealed The facility must permit each resident to remain in the facility, and not transfer or discharge the resident from the facility .Before a facility transfers or discharges a resident, the facility must notify the resident and the resident's representative of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand .The Discharge/Transfer notice shall be made by the facility at least 30 days before the resident is transferred or discharged . Record review of the Face Sheet for Resident #1 revealed that the facility admitted him on 12/24/2013 with diagnoses that included Cerebral Infarction and Alzheimer's Disease. The facility discharged Resident #1 on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, facility policy review and record review, the facility failed to develop a comprehensive care plan for a resident requiring shaving and failed to implement the care plan for residents requiring nail care for two (2) of 18 residents reviewed. Resident #24 and Resident #42 Findings include: Resident #24 A record review of the facility policy titled, Care Plan Process Policy , with a revision date of 08/17, revealed regulations require facilities to complete, at a minimum and at regular intervals, a comprehensive, standardized assessment of each resident's functional capacity and needs, in relation to a number of specified areas (e.g., customary routine, vision, and continence. The facility shall develop and implement a Baseline Careplan and Summary NS 813 for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meets professional standards of quality care. An observation on 02/06/23 at 11:20 AM,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, resident interview, facility policy review and record review, the facility failed to provide Activities of Daily Living (ADLs) as evidenced by long and jagged nails, and unshaven facial hair for two (2) of eighteen residents observed. Resident #24 and Resident #42 Findings include: A record review of the facility policy titled, A.M. Care policy' with a revision date of 10/17 revealed, Purpose: To prepare the resident for their day, to maintain oral health and bodily hygiene, and to maintain the resident's desired physical appearance . Procedure: 12. Assist the resident with grooming according to their preferences (makeup application, shaving, hair removal, hair care, and styling, etc.) . A record review of the facility policy titled, Nail Care Policy, with a revision date of 10/17 revealed, Purpose: To promote cleanliness, safety, and a neat appearance. To observe skin condition on fingers and toes .Procedure: 8. Trim the nails straight across, and even with the end of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.