Complete Care at Wheaton

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF730Apr 21, 2026

  Based on record reviews and interviews it was determined that the facility failed to ensure that Geriatric Nursing Assistants (GNAs) were provided with annual performance evaluations and skills competencies. This was found to be evident for 4 (GNA #9, #10, #11, #13) out of 5 GNAs reviewed for performance evaluations and skills competencies reviewed during the recertification and complaint survey. The findings include: During a review of employee files conducted on 04/16/26 at 11:42 AM it was discovered that GNAs #9, #10, #11, and #13 did not have documentation of a current annual performance evaluation and skill competencies. […]

• No harm, potential for more than minimal, patternF761Apr 21, 2026

  Based on observation and staff interviews, it was determined that the facility failed to properly store and label medications. This was evident in 1 of 1 medication room and 2 of 2 medication carts observed during the recertification survey process.The findings include:On 04/15/2026 at 1:49 PM during an observation conducted with Licensed Practical Nurse (LPN) #20 in the East Wing 1 medication room, the following was observed:Two bags of Heparin (30,000 units/1000 mL Normal Saline) labeled for Resident #8 were stored in the medication room refrigerator. […]

• No harm, potential for more than minimal, patternF657Apr 10, 2025

  Based on surveyor record review, interviews with facility staff and Residents, it was determined that the facility failed to revise Resident care plans and conduct timely care plan meetings. This was found to be evident in 4 (Resident #10, 41, 93, and 106) out of 4 Residents reviewed for timing and revision of care planning. The findings include: 1) On the initial tour of the facility 03/31/2025 at 09:58 AM Resident #10 stated that he/she remembered attending one care plan meeting last summer and does not recall having received invitations for care plan meetings. Resident stated, I have been here for 2 years. A care plan is a document that outlines a person's healthcare or support needs, how those needs will be met, and by whom. […]

• No harm, potential for more than minimal, patternF657Mar 12, 2021

  Based on surveyor review of the clinical record and interviews with residents and facility staff, it was determined that the facility failed to ensure interdisciplinary care conferences, including the participation of residents. This finding was evident for 2 of 23 residents selected during the survey (Resident #64 and #73). In addition, the facility failed to ensure the revision of a comprehensive plan of care for Resident #67. This finding was evident for 1 of 23 residents selected during the survey. The findings include: 1a. On 03-08-2021 at 3:30 PM surveyor interview with Resident #64 revealed that the resident had not been invited or attended an interdisciplinary care plan conference for some time now. […]

• No harm, potential for more than minimal, patternF689Mar 12, 2021

  Based on surveyor review of the clinical record, surveyor observations, and interviews with residents and facility staff, it was determined that the facility failed to ensure adequate supervision for 1 of 6 residents reviewed for accidents (Resident #30). This finding was identified during the investigation of the facility reported incident MD 309. The findings include: The surveyor made four separate observations of Resident #30 on 03-08-2021 at 5:11 PM , 03-09-2021 at 6:38 PM, 03-10-2020 at 2:46 PM, and 03-12-2021 at 6:45 AM. […]