Edna Tina Wilson Living Center

In the surveyor’s words

From the most serious findings on record at Edna Tina Wilson Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF880Apr 11, 2025

  Based on observation, interviews, and record review conducted during a Recertification Survey from 04/07/2025 to 04/11/2025, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for one (1) (Resident #25) of five (5) residents reviewed. Specifically, the resident had an unstageable pressure ulcer (full-thickness skin and tissue loss in which the extent of tissue damage cannot be confirmed because the wound bed is obscured by dead tissue), was not placed on enhanced barrier precautions (interventions designed to reduce transmission of multidrug-resistant organisms), and staff did not wear appropriate… […]

• No harm, potential for more than minimal, isolatedF578Jun 16, 2023

  Based on observation, interview, and record review conducted during a Recertification Survey [DATE]-[DATE] it was determined that for two (Residents #32 and #109) of 32 residents reviewed, the facility did not ensure that the residents had the right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive that would be honored. Specifically, the facility did not ensure Residents #32 and #109 advance directive identifiers were consistent with the resident's wishes. […]

• No harm, potential for more than minimal, isolatedF677Jun 16, 2023

  Based on observations, interviews and record reviews conducted during the Recertification Survey completed on 6/16/23, it was determined that for two (Residents #54 and #64) of four residents reviewed for activities of daily living (ADLs), the facility did not ensure the residents received the necessary services to maintain good grooming and personal hygiene. Specifically, both residents were observed with dirty and uncut nails. This is evidenced by the following: The facility policy Quality of Life and Quality of Care, dated as revised January 2020, included that the facility must provide care and services in accordance with resident's comprehensive assessment for the following ADLs (that include but not limited to hygiene. […]

• No harm, potential for more than minimal, isolatedF585Sep 17, 2021

  Based on observations, interviews and record review conducted during the Recertification Survey, completed on 9/17/21, it was determined that for one (Resident #41) of three residents reviewed for grievances, the facility did not make efforts to resolve the resident's grievance. Specifically, the resident voiced concerns about several other residents coming into their room unannounced at various times of the day and night. This is evidenced by the following: Review of the facility's, Grievance Policy, dated December 2020, revealed that the facility had a Resident Relations Coordinator who will assign a grievance to a responsible individual for an investigation and for providing feedback to the complainant. […]

• No harm, potential for more than minimal, isolatedF695Sep 17, 2021

  Based on observations, interviews and record review conducted during the Recertification Survey, completed 9/17/21, for one (Resident #59) of one resident reviewed, the facility did not ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Specifically, the facility did not consistently provide oxygen (O2) as ordered or monitor the oxygen saturation levels (amount of oxygen in the blood stream). […]