Communities of Wildwood Ranch

In the surveyor’s words

From the most serious findings on record at Communities of Wildwood Ranch, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 10, 2024

  Based on interview and record review, the facility staff failed to ensure an environment as free for accident hazards of possible for all residents, when the facility failed to ensure staff were aware of where to find care planned fall interventions and followed care planned fall intervention for one resident (Resident #1) resulting the resident falling from his/her bed, while not in the low position, and left unattended. The fall resulted in facial injuries and skin tears requiring the resident to be sent to the hospital. […]

• No harm, potential for more than minimal, patternF607Jul 28, 2023

  Based on interview and record review, the facility staff failed to implement policies and procedures to help prevent abuse when staff failed to ensure the required criminal background checks (CBC - check that searches for criminal misconduct) for three staff members (Registered Nurse (RN) B, Licensed Practical Nurse (LPN) D, and Social Services (SS) A); employee disqualification list (EDL - list maintained by the Department of Health and Senior Services of individuals who have been determined to have: abused or neglected a resident; misappropriated funds or property belonging to a resident) checks for four staff members (RN B, Office Staff C, LPN D, and Certified Occupation Therapy Assistant (COTA) F); and the CNA registry (Certified Nurse Aide - list of all nursing assistants who meet the… […]

• No harm, potential for more than minimal, patternF625Jul 28, 2023

  Based on interview and record review, the facility failed to give written information to the resident and/or resident's representative of the facility's bed hold policy for four residents (Residents #78, #8, #19 and #51), out of four sampled residents, who were transferred out to the hospital. The facility census was 103. Review of a facility policy entitled Bed-Holds and Returns, dated October 2022, showed the following: -All residents/representatives are provided written information regarding the facility and state bed-hold policies, which address holding or reserving a resident's bed during periods of absence (hospitalization or therapeutic leave); -Residents, regardless of payer source, are provided written notice about these policies at least twice in advance of any transfer (e.g., in… […]

• No harm, potential for more than minimal, patternF550Aug 30, 2021

  Based on observation, interview, and record review, the facility failed to ensure all residents were treated with dignity and respect when one staff (Certified Medication Technician (CMT) H) interacted with four residents (Resident #4, Resident #5, Resident #6, and Resident #7) in a manner that made them uncomfortable. The facility census was 91. Record review of the facility's policy titled Dignity, dated February 2021, showed the following: -Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem; -Residents are treated with dignity and respect at all times; -Staff speak respectfully to residents at all times, including addressing the resident by his or her name of… […]

• No harm, potential for more than minimal, patternF690Aug 30, 2021

  Based on observation, record review, and interview, the facility failed to provide incontinent care in a manner to help prevent possible infection for three residents (Resident #1, Resident #2, and Resident #3) when staff failed to perform hand hygiene before and during incontinent care. The facility census was 91. Record review of the facility's policy, titled Perineal (genital) Care, dated October 2010, showed the following information: -The purposes of this procedure are to provide cleanliness and comfort to the resident, prevent infections and skin irritation, and to observe the resident's skin condition; -Place the equipment on the bedside stand. […]