Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Wartburg Home during CMS and state inspections, most recent first.
Food storage, prep, and pantry sanitation were not maintained in accordance with professional standards. Surveyors found multiple unlabeled and undated foods, expired items in the kitchen, storeroom, emergency supply, and unit pantry, mold on cheese, food stored improperly, chemicals and boxes on the floor, a cell phone on the prep counter, and dietary staff not wearing required hair or beard restraints. A unit pantry also had food on the floor, tracked water, and expired resident food items in the refrigerator.
Kitchen and pantry dishwashing equipment was not maintained in safe operating condition. Surveyors found broken dishwashers in all unit pantries, along with a leaking food warmer, broken steam table, and broken freezer in one unit pantry. The main kitchen dish machine also failed to reach proper sanitizing temperatures, and the FSD acknowledged the equipment issues and that some repairs had not been requested or prioritized.
Improper Oxygen Cannula Placement: A resident with COPD, HF, and dementia was ordered continuous O2 via nasal cannula, but surveyors observed the cannula prongs in the resident's mouth instead of the nostrils. The resident was severely cognitively impaired and dependent on staff for all care, while a CNA and an LPN stated they were responsible for monitoring cannula placement and oxygen administration but had not noticed the issue.
A resident with COPD, DM, and HF had a Symbicort inhaler observed on the room table instead of being secured with authorized staff. The resident said a nurse had told them they could self-administer and that the inhaler was picked up later each day, but the LPN, RN, and DON stated residents were not allowed to keep medications in their rooms and no resident was known to be approved for self-administration.
Food Storage, Preparation, and Pantry Sanitation Deficiencies
Penalty
Summary
The facility did not ensure food was stored, prepared, and distributed in sanitary conditions in accordance with professional standards for food service safety. During kitchen observation, surveyors found multiple unlabeled and undated food items, including roasted garlic Caesar dressing, swiss cheese, chopped garlic, lasagna in the freezer, cooked bacon, and an unknown food in a 1/3 pan; they also found expired items such as sliced pork and deli ham, peach cobbler, raisins, dry milk powder, chocolate syrup, and 16 five-gallon bottles of water past expiration. An undated block of parmesan cheese had visible mold, and Thick-it was stored in an unsealed plastic bag. In the emergency food supply, expired dry milk powder, chocolate syrup, and water were present. Boxes were stored on the floor, chemicals and a large bucket of dish detergent were on the floor under shelving, and boxes were stacked less than 6 inches from the ceiling. A personal cell phone was also observed on the food prep counter. Surveyors also observed staff not following required food-service attire and sanitation practices. One dietary staff member with a beard was not wearing a beard restraint, and another dietary aide was not wearing a hair net; both stated they had just arrived and had not put them on yet. In Unit 2 North pantry, surveyors observed a slice of toast on the floor and a puddle of water that had been tracked across the floor. The refrigerator in the pantry contained an undated peanut butter sandwich and a resident’s lunch bag with an expired yogurt. Interviews showed conflicting understanding of responsibility for pantry cleaning, with dietary staff, housekeeping, the Food Service Director, the Interim Director of Environmental Services, and the Administrator giving differing statements about who was responsible for sweeping, mopping, and cleaning the unit pantries, refrigerators, counters, and cabinets.
Kitchen and Pantry Dishwashing Equipment Not Maintained
Penalty
Summary
Essential kitchen equipment was not maintained in safe operating condition. During the recertification survey, surveyors observed that dishwashers in all four unit pantries were broken, and in the Unit 1 South pantry the food warmer was leaking water, the steam table was not working, and the tall standing freezer was broken. A Dietary Aide stated the equipment had been broken for weeks and that the supervisor had only been told verbally, with no documented evidence of communication or work orders for the pantry equipment repairs. The Food Service Director stated they were aware of the broken unit equipment, that some items had been broken before their employment, and that they had decided not to send repair requests for those items. They also stated the broken steam table on Unit 1 South had been evaluated for repair, but they did not feel it was a priority to repair. Surveyors also observed the main kitchen dish machine during operation and found that the wash cycle temperature was 124 degrees, the rinse cycle displayed an E, and the final rinse cycle temperature was 94 degrees, which was below the required sanitization temperatures. The Food Service Director stated they could not explain the E on the rinse cycle or why the temperatures were below the expected range, and said they would contact the Director of Facilities for assessment and repair. Later, the Food Service Director stated the main kitchen dish machine was out of order due to a computer board malfunction and that the facility had been using paper products for dining over the weekend.
Improper Oxygen Cannula Placement
Penalty
Summary
Provide safe and appropriate respiratory care for a resident when needed was not ensured for Resident #7, who was admitted with diagnoses including chronic obstructive pulmonary disease, heart failure, and non-Alzheimer's dementia. The resident's physician's orders documented continuous oxygen at 2 liters per minute via nasal cannula, and the Minimum Data Set documented severely impaired cognition, dependence on staff for all functional abilities, and shortness of breath when sitting, at rest, or lying flat. During observations, Resident #7 was in bed, awake, with the nasal cannula prongs observed in the resident's mouth instead of in the nostrils. The facility policy stated that each resident's respiratory function shall be maintained and optimized to the fullest extent possible, and that nurses and CNAs were responsible for monitoring nasal cannula placement each shift. During interviews, a CNA stated they were responsible for checking correct cannula placement after care and throughout the shift, and an LPN stated they were responsible for monitoring oxygen administration for residents on their assignment; both stated they had not noticed the cannula was not inserted into the resident's nostrils.
Medication left unsecured in resident room
Penalty
Summary
The facility did not ensure that all medications were secured in a locked storage area when Symbicort (budesonide-formoterol) aerosol inhaler was observed on Resident #35’s room table rather than being stored under direct supervision of authorized staff. The facility policy stated that only licensed nurses, pharmacy personnel, and other authorized staff could access medications, and that medication rooms, carts, and supplies were to be locked or attended. The facility also had a policy allowing self-administration only for residents deemed capable, after counseling and with a physician order. Resident #35 had diagnoses including COPD, diabetes mellitus, and heart failure, and the resident’s MDS documented cognitive intactness. The physician order in the record was for budesonide nebulizer treatments twice daily. During observations, the resident stated a nurse had brought the Symbicort inhaler and told them they could self-administer it, and that a nurse later came each day to pick it up. However, an LPN stated they did not know of any residents on the second floor who were capable of and desired to self-administer medications, and stated residents were not allowed to keep medications in their rooms. The DON and the admitting RN also stated residents could not keep medications in their rooms, and the DON stated no resident was currently known to be allowed to self-administer medications.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mount Vernon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westchester Center For Rehabilitation & Nursing | 0.8 mi | ★★★★★ | 1 | 0 |
| Schaffer Extended Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Sutton Park Center For Nursing And Rehabilitation | 1.4 mi | ★★★★★ | 3 | 0 |
| Glen Island Center For Nursing And Rehabilitation | 2.3 mi | ★★★★★ | 11 | 0 |
| United Hebrew Geriatric Center | 2.3 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.