Harmony Park at Wilson

In the surveyor’s words

From the most serious findings on record at Harmony Park at Wilson, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Aug 19, 2022

  Based on record review, observations, staff and Health Department interviews the facility failed to develop and implement facility policies for infection control as recommended by the Centers for Disease Control and Prevention (CDC) guidelines; the facility failed to implement current infection control measures as recommended by the CDC on all resident halls ( A Hall and B Hall), when the facility failed to have required PPE (N-95 masks, disinfectant wipes) available for staff on 3 of 4 isolation carts (A1-A10 cart and B1-B-24 cart); when 4 of 20 staff members (Nurse #1, Nurse Aide (NA) #2, Nurse Aide #1, and Housekeeper #1) failed to wear the required Personal Protective Equipment (PPE) when they entered into quarantined special droplet contact precaution rooms on 2 of 2 hallways; when 4… […]

• Actual harm, isolatedF689Mar 8, 2023

  Based on observations, record review, and staff and resident interviews, the facility failed to provide care in a safe manner during a bed bath for a dependent resident (Resident #3) resulting in a head injury for 1 of 3 residents reviewed for accidents. Findings included: Resident #3 was admitted to the facility on [DATE] with diagnoses that included quadriplegia. His quarterly Minimum Data Set (MDS) dated [DATE] indicated he was cognitively intact. He required total assistance from staff for bed mobility, hygiene, and bathing. He required two-person assistance for bathing. A Care Plan dated 8/2/22 focused on fall risk included a goal for Resident #3 to be free from falls for the review date. […]

• Actual harm, isolatedF689Aug 19, 2022

  Based on observations, record review, physician interview and resident and staff interviews, the facility failed to 1.) implement fall interventions after a resident fell and sustained a laceration to his forehead for 1 of 18 residents reviewed for falls, (Resident #16); and 2.) failed to secure smoking materials and failed to supervise a resident while smoking for 1 of 3 residents reviewed for smoking. (Resident #27). Findings Included: 1. Resident #16 was admitted to the facility on [DATE] with diagnoses which included generalized muscle weakness, hypertension, Type II diabetes and [CONDITION(S)] disease. […]

• Actual harm, isolatedF677Apr 16, 2021

  Based on observation, resident and staff interview and record review, the facility failed to provide nail care for one resident (Resident # 37) and toileting assistance for two residents (Resident #34 and Resident #5), for 3 of 23 residents reviewed for Activities of Daily Living (ADLs)which resulted in residents having incontinent episodes and one resident was pi off and one resident did not like it. Findings included: 1.A review of the medical record revealed Resident #5 was admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Minimum Data Set (MDS) dated [DATE] indicated Resident # 5 was cognitively intact and needed extensive assistance for activities of daily living (ADL) care with the help of one person. […]

• Actual harm, isolatedF725Apr 16, 2021

  Based on observations, staff and resident interviews and record review, the facility failed to maintain sufficient staffing resulting in nail care not being provided (Resident #37), and toileting assistance was not provided (Resident #34 and Resident #5) resulting in residents having incontinent episodes and one resident was pi off and one resident did not like it. Findings included: This tag is cross referenced to F677. Based on observation, staff and resident interview and record review, the facility failed to provide nail care for one resident (Resident # 37) and toileting assistance for two residents (Resident #34 and Resident #5) for residents reviewed for Activities of Daily Living (ADLs),resulting in residents having incontinent episodes and one resident was pi off and one resident… […]