Encore at Wilmington

In the surveyor’s words

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

• Immediate jeopardy, isolatedF660Jan 8, 2024

  Based on record review and interviews, it was determined that for one (R6) out of three residents reviewed for discharge, the facility failed to develop and implement an effective discharge planning process. The facility failed to determine and document the feasibility of R6 returning to live in the community independently. The facility failed to ensure R6's health and safety needs were able to be met at her discharge destination. The facility failed to ensure R6 had the ability to fill her medication prescriptions. The facility failed to ensure that R6's discharge prescriptions for PT/OT, home health aide and nursing were referred to an accepting agency and the first visit by the agency was scheduled for R6. These failures placed R6 in Immediate Jeopardy (IJ). […]

• Actual harm, isolatedF689Jun 15, 2026

  Based on record review and interview, it was determined that for one (R74) out of two residents reviewed for accidents, the facility failed to ensure R74 received adequate assistance and supervision to prevent accidents. R74, who required moderate assistance, sustained a facial injury after falling on the floor while receiving care from a staff member. Based review of the facility's evidence to correct the deficient practice and substantial compliance at the time of the current survey, the deficiency was determined to be past non-compliance as of 1/6/26. […]

• Actual harm, isolatedF689Jul 2, 2024

  Based on record review, and interviews, it was determined that for one (R172) out of two residents reviewed for accidents, the facility failed to ensure adequate supervision was provided to prevent accidents. This failure caused R172 to roll out of the bed while one staff member was providing care. R172 sustained harm, an injury to the back of the head and fractures to her left leg. Findings include: Review of R172's clinical records revealed: 11/14/21 - R172 was admitted to the facility with diagnoses including breast cancer, dementia, heart failure, depression. […]

• No harm, potential for more than minimal, widespreadF880Jun 6, 2025

  Based on interview and record review, it was determined that the facility failed to provide a satisfactory water management plan to prevent the growth of Legionella and other water borne pathogens. Findings include: 6/5/25 1:17 PM - During the document review and interview with E3 (DPO), the surveyor found the water management plan lacked description and diagram of water flow in the facility, potential infection sites, prevention and treatment plans. The findings were confirmed with E3. 6/5/25 2:31 PM - Findings were reviewed with E1 (NHA). 6/6/25 1:30 PM - Findings were reviewed with E1 (NHA), E2 (DON), E3 (ADON), E8 (regional nurse) and E9 (regional reimbursement) (via phone) at the exit conference.

• No harm, potential for more than minimal, widespreadF812Jan 26, 2023

  Based on observations and interview, it was determined that the facility failed to ensure that the kitchen was maintained to ensure proper food safety. Findings include: The following were observed during the kitchen tour on 1/19/23 from 8:45 AM to 10:00 AM: - The hand washing sink paper towel dispenser was dispensing too much paper towel causing the clean paper towel to dispense into the hand sink, thus contaminating paper towels; - The light cover in the dry storage room, handwashing station by the dry storage room, and loading bay were in disrepair; - The loading bay door sweep was in disrepair creating gaps for pests. Findings were reviewed and confirmed with E22 (Food Service Director) on 1/19/23 at approximately 10:00 AM.