Aperion Care Wesley

In the surveyor’s words

From the most serious findings on record at Aperion Care Wesley, in the surveyor’s own words.

• Actual harm, isolatedF580Mar 6, 2026

  Based on interviews and record reviews, the facility failed to notify the physician in a timely manner of a change in condition of one (R74) resident out of three residents reviewed for change in condition in a total sample of twenty. This failure resulted in R74 requiring hospitalization with diagnosis of stroke. Findings Include:R74's Minimum Data Set (MDS) dated [DATE] noted she was cognitively impaired. R74's Electronic Medical Record (EMR) noted she was initially admitted to the facility on [DATE]. […]

• Actual harm, isolatedF687Jan 16, 2025

  Based on observations, interviews, and record reviews, the facility failed to ensure foot care was provided for 1 resident (R1) and failed to assist the resident in making appointments with a qualified person to receive appropriate foot care, demonstrating inadequate care. This failure resulted in R1 suffering physical harm stating symptoms of unbearable foot pain and also suffering psychosocial harm stating feelings of depression, irritability and difficulty sleeping. Findings include: On 1/13/25 at 10:27am, surveyor observed R1 displaying facial grimacing and when surveyor inquired about the facial grimacing, R1 replied, It's my feet. Look at my feet. The pain is unbearable sometimes. I am so depressed and mad. The pain makes it impossible to sleep. […]

• Actual harm, isolatedF686Jun 21, 2024

  Based on interviews and record review, the facility failed to provide for pressure redistribution to prevent a resident's (R1) pressure injuries from developing out of 3 residents reviewed for pressure ulcers. This failure resulted in R1 developed avoidable bilateral buttock pressure injuries identified as facility acquired stage three pressure ulcer (left buttock) and unstageable pressure ulcer (right buttock). Findings include: R1's Face sheet documents that R1 is an [AGE] year-old male who has diagnoses is not limited to: Parkinson's disease without dyskinesia, dementia, chronic obstructive pulmonary disease, need for assistance with personal care, weakness. […]

• Actual harm, isolatedF689Mar 10, 2022

  Based on interview and record review, the facility failed to supervise dementia residents who are at high risk for falling, failed to ensure all residents are assessed for falls upon admission, failed to ensure safety precautions were in place to minimize the risk of injury and failed to follow their Fall Policy and Fall Risk Assessment Policy for 2 (R1, R2) of 3 residents reviewed for falls in the sample of 3 residents. These failures resulted in R1 sustaining a right [CONDITION(S)] requiring surgery and R2 sustaining a dislocation of the right hip prosthesis for a recent femur fracture which required surgery. […]

• Actual harm, isolatedF686Dec 23, 2021

  Based on observations, interviews and record reviews, the facility failed to follow standard of practice when using a low air loss mattress, follow physician orders for wound care and failed to provide necessary care and services to prevent a sacral wound from reopening and prevent worsening of pressure ulcers for 2 (R1 and R2) out of 3 residents reviewed for pressure ulcers. This failure resulted in R1's sacral ulcer reopening and worsening of the sacral and buttocks ulcers which required hospitalization for debridement. Findings include: R1's face sheet reads an admitted [DATE]. Admitting diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . V3's (R1's Primary Physician) progress note dated 04/02/2021 06:04 PM reads R1 was severely deconditioned with worsening strength. […]