Careone at Wellington

In the surveyor’s words

From the most serious findings on record at Careone at Wellington, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 10, 2025

  Complaint #: NJ186848 Based on observation, interviews, and review of pertinent facility documents on 6/2/25, it was determined that the facility failed to provide adequate supervision to a cognitively impaired resident (Resident #1) with a known history of elopement which resulted in the resident eloping on 5/26/25. This deficient practice was identified for 1 of 4 residents reviewed for risk for elopement (Resident #1). Resident #1, a cognitively impaired resident who wore a wander guard to alert staff of possible elopement, was last seen by staff on 5/26/25 at 3:45 PM. […]

• Actual harm, isolatedF689Nov 19, 2024

  Complaint #: NJ00179638 Based on interviews, record review and review of pertinent facility documents on 11/18/2024 and 11/19/2024, it was determined that the facility failed to ensure the safety of a resident (Resident #1) when: (a) the Resident took his/her p.o. [by mouth] medication with a clear liquid which was given by Registered Nurse (RN) #1. Resident #1 drank the liquid and reported a burning sensation when swallowing and notified RN #1. It was revealed the clear liquid was a Dakin's solution [a wound cleanser solution] half-strength (Sodium Hypochlorite 0.25%); (b) RN #1 did not follow facility's proper procedure in preparing liquid solutions for wound care, and (c) RN #1 did not follow facility's procedure in accordance to professional standards of nursing practice in… […]

• Actual harm, isolatedF689Aug 3, 2022

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to prevent a fall from the bed by following the resident's plan of care during bed mobility which resulted in leg fractures and hospitalization . This deficient practice was identified for 1 of 4 residents reviewed for accidents (Resident #11). The evidence was as follows: On 7/20/22 at 12:24 PM, the surveyor observed Resident #11 sitting up in a bariatric bed (a bed designed to accommodate a higher weight capacity than standard beds) wearing a hospital gown. […]

• No harm, potential for more than minimal, widespreadF812Jan 7, 2025

  Based on observation, interview, and review of pertinent facility documents it was determined that the facility failed to maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] at 9:19 AM, the surveyor, in the presence of the Culinary Service Director (CSD) observed the following during the kitchen tour: 1. On the dry rack storage shelf, there were a stack of three half sheet pans. The surveyor observed 1 of the 3 stacked half sheet pans was soiled with white solid debris on the inside of the pan. The CSD was able to scratch the debris off and acknowledged that the pan was soiled. The surveyor observed 1 of the 3 stacked half sheet pans was wet on the inside portion. […]

• No harm, potential for more than minimal, widespreadF880Jan 7, 2025

  Based on observation, interview, record review and review of pertinent facility documentation, it was determined that the facility failed to use appropriate infection control practices specifically for: a) Nursing not wearing the required Personal Protective Equipment (PPE) when entering the room of a resident on Transmission-Based Precautions (TBP) (LPN #1); b) Houskeeping (H) staff not removing soiled PPE when exiting the room of a resident on TBP (H #1, #2, #3); c) a Unit Secretary (US) wearing her surgical mask inappropriately below her nose and mouth while on the unit hallway; and d) Certified Nursing Assistants (CNA) not following appropriate hand hygiene during meal service (CNA #1, #2, #3, #4). […]