Life Care Center at Wells Crossing

In the surveyor’s words

From the most serious findings on record at Life Care Center at Wells Crossing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observations, interview, and record review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed food from the facility, by failing to complete temperature logs for dish machine, maintain thermometers and temperature logs in walk in fridge and freezer, remove outdated food, and properly store food. Food handling is important in health care settings serving nursing home residents. The findings include: An initial tour of the kitchen was conducted on 9/25/23 at 10:38 am. Employee A introduced herself as the Assistant Dietary Manager and stated the Certified Dietary Manager (CDM) was out on extended leave. […]

• No harm, potential for more than minimal, patternF812Sep 11, 2025

  Based on kitchen food service observations, staff interviews, record review, and a review of the facility's policies and procedures, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect more than a limited number of residents who consumed foods from the facility's kitchen. The kitchen staff failed to log proper temperatures for the dish machine. Food handling and sanitation are important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 09/08/2025 at 10:55 AM. […]

• No harm, potential for more than minimal, patternF602Sep 28, 2023

  Based on observations, interviews, record review, and facility policy review, the facility failed to ensure an adequate system to prevent the misappropriation/drug diversion of controlled medications for 4 (Residents #50, #89, #13, and #20) of 31 residents sampled, with the potential to affect all residents prescribed controlled drugs. The findings include: 1. During a tour of the facility on 9/25/23 at 3:25 pm, Resident #50 was observed resting in bed. There were no signs or symptoms of pain or distress. When asked about his medication regimen, he said there was some hanky panky going on with his medications. However, he was not able to provide full details of what he meant by this and requested his wife be contacted for additional information on the matter. […]

• No harm, potential for more than minimal, isolatedF684Sep 11, 2025

  Based on observations, interviews, record review, and a review of the facility's policies and procedures, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one (Resident #16) of 52 residents in the total survey sample. On 9/3/2025, Resident #16 was ordered a palm guard for his left hand except for hygiene/bathing, but he was not wearing it, and direct-care staff were not aware that he should be wearing it. This failure could result in the resident's functional decline.The findings include: During a tour of the facility on 9/9/2025 at 1:36 pm, Resident #16 was observed sitting in a wheelchair in the resident lounge near the nurses' station on the 400 hall. […]

• No harm, potential for more than minimal, isolatedF840Sep 11, 2025

  Based on record review and interview, the facility, that did not furnish in-house dialysis services, failed to enter into a contract with a dialysis provider to furnish dialysis services to one (Resident #54) of two residents receiving dialysis services, from a total survey sample of 52 residents.The findings include: A review of Resident #54's active physician's orders revealed: Dialysis patient: Receives dialysis at [provider name]. Do not take BP (blood pressure) on left arm with fistula/shunt; send to dialysis on one time a day every Mon, Wed, Fri for dialysis treatment. 10:30 chair time pickup via [transport service name] (08/13/2025). […]