A.G. Rhodes Home Wesley Woods

In the surveyor’s words

From the most serious findings on record at A.G. Rhodes Home Wesley Woods, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 7, 2024

  Based on record review, interviews, and review of the policy titled Safe Elder Handling-Transfers, the facility failed to ensure that one of 25 residents (R) (R100) was safely transferred using a mechanical lift. Actual harm occurred on 1/20/2024, when R100 fell from a mechanical lift during transfer from bed to chair and sustained one left rib fracture and two right rib fractures. There were 25 residents that required transfer assistance with a mechanical lift. Findings included: Review of the facility policy titled Safe Elder Handling-Transfer, revised 8/28/2023 documented the policy is to ensure elders are handled and transferred safely to prevent risk for injury and provide a safe, secure, and comfortable environment. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2024

  Based on observations, staff interviews, and review of the facility policies, the facility failed to document receive dates on food items in the dry storage area; failed to ensure dietary staff washed hands after entering the kitchen and between touching dirty/clean dishes; failed to discard food items past the best by date; and failed to ensure dietary staff properly sanitized dishware to prevent cross contamination. There were 134 residents consuming an oral diet. Findings include: 1. Review of the policy titled Production, Purchasing, Storage - Food and Supply Storage revised 1/2024, revealed foods past the use by, sell by, best by, best by, or enjoy by date should be discarded. […]

• No harm, potential for more than minimal, isolatedF554Sep 11, 2025

  Based on observations, resident and staff interviews, record review, and review of the facility's policy titled, Medication Administration Policy, the facility failed to assess for the ability to self-administer medications prior to leaving medications at the bedside for one of 44 sampled residents (R) (R50). The deficient practice had the potential to allow access to medications otherwise not prescribed by a physician to other residents. Findings include: Review of the facility's policy titled Medication Administration policy revised December 2023 indicated the following: Policy: Medications are administered by licensed nurses, or other care partner who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in… […]

• No harm, potential for more than minimal, isolatedF584Sep 11, 2025

  Based on observations, staff interviews, and review of the facility policy titled, Preventive Maintenance, the facility failed to ensure the residents' living area was safe, clean, comfortable, and homelike in three rooms (room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]) on two of four halls (300 Hall and 400 Hall). Specifically, residents' rooms contained damaged sheetrock walls with holes, scuffed/chipped paint, and a dirty personal fan that had the potential to affect patient comfort and safety. […]

• No harm, potential for more than minimal, isolatedF656Sep 11, 2025

  Based on record review, staff interviews, and review of the facility policy titled, Comprehensive Care Plans, the facility failed to complete/update care plans for two of 44 sampled residents (R) (R40 and R3). Specifically, R3 had orders for oxygen therapy and oxygen was not on the care plan. Also, the facility failed to complete a care plan for R40 related to hearing loss and communication interventions. The deficient practice had the potential to lead to negative health outcomes and unmet care needs.Findings include: Review of facility policy titled, Comprehensive Care Plan revised on 6/26/2023 states under Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident consistent with resident rights that includes measurable… […]