Luxe at Wellington Rehabilitation Center the

In the surveyor’s words

From the most serious findings on record at Luxe at Wellington Rehabilitation Center the, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 16, 2025

  Based on observations, interviews, record and policy review; the facility failed to protect a resident's right to be free from neglect by failure of staff to respond timely to the resident's change of condition which resulted in hospitalization for 1 of 2 residents sampled for change in condition (Resident #4). The findings included: The facility's policy titled Abuse, Neglect, Exploitation, Misappropriation, Mistreatment, and Injury of Unknown Origin issued 08/2022 and revised 01/2024 revealed, Neglect occurs when the facility is aware of, or should have been aware of, goods or services that a resident (s) requires but a facility fails to provide them, to the resident (s), that has resulted in or may result in physical harm, pain, mental anguish, or emotional distress. […]

• Actual harm, isolatedF684Apr 16, 2025

  Based on record reviews and interviews, the facility failed to ensure residents receive treatment and care in accordance with professional standards by failing to recognize one out of 2 residents sampled (Resident #5), after admission to the nursing home was not on medication for a diagnosis of Atrial Fibrillation. The resident was readmitted to the hospital with a diagnosis of Bilateral Pulmonary Embolism. The findings included: Resident #5 was admitted to the facility post-acute care hospitalization on [DATE]. Her admitting diagnoses included Staphylococcal Arthritis of Left Knee, Cellulitis of Left Lower Limb and Unspecified Atrial Fibrillation. Her Brief Interview for Mental Status was 15 on the 5-day Minimum Data Set with an assessment reference date of 03/12/25. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2022

  Based on observation and interview, the facility failed to serve food in a sanitary manner in accordance to food service safety. The findings included: During the initial kitchen tour, on 03/21/22 at 9:40 AM, accompanied by the Certified Dietary Manager (CDM, the folllowing were noted: 1). There were several single use and disposable cups on a shelf in the food preparation area 2). There was an accumulation of rust on the toaster. 3). There was an accumulation of rust and food residues on the pans on the steam table 4). There was an accumulation of food residues on and inside of the microwave oven 5). There was an accumulation of food residues and grease on the stove 6). There was an accumulation of food residues and grease on the grill 5). […]

• No harm, potential for more than minimal, widespreadF812Feb 25, 2021

  Based on observation and interview the facility failed to serve meals in accordance with the professional standards for food service safety. The Findings included: On 02/22/21 at 10:39 AM, during the initial tour of the main kitchen accompanied by the Food Service Manager, the following was noted. (1) In the Walk in refrigerator there was a container of Egg Salad dated 2/14/21. (2) Chicken legs on a tray with no date. (3) One 5-pound container of Cottage Cheese with a use by date 2/21/21. (4) One 32-oz container of Yogurt with use by date 2/20/21. (5) The oven and grill very dirty (burnt food). (6) Garbage can in the food preparation area no cover. (7) Red sanitizing bucket tested at 150 PPM, instead of 200-400PPM. (8) Plate warmer needs cleaning, very dirty, with clean dishes in it. […]

• No harm, potential for more than minimal, patternF725Sep 27, 2024

  Based on observation, interview and record review, the facility failed to ensure sufficient staffing as evidenced by failure to provide timely administration of medications for 1 of 6 sampled residents (Resident #50 .refer to F684); ineffective communication for 2 of 2 sampled residents (Residents #29 and 394 (refer to F676); and numerous resident / family complaints from 13 of 31 sampled residents / representatives (Residents #394, #393, #192, #39, #66, #33, #4, #29, #193, #63, #1, #194, and #395). The findings included: 1) On 09/24/24 at 11:49 AM, Resident #50's family member was interviewed via telephone and stated that he felt [Resident #50] had declined due to not participating in therapy as much as she needed to because she was not being provided her medications in a timely manner. […]