Merit Health Wesley

In the surveyor’s words

From the most serious findings on record at Merit Health Wesley, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 4, 2024

  Based on observation, staff interview, and facility policy review, the facility failed to ensure food items in the freezer were sealed properly, scoops for sugar and flour were stored properly, and facial hair was restrained in the food preparation area for two (2) of two (2) kitchen observations. Findings Include: A review of the facility's policy, Productions Purchasing Storage- Food and Supply Storage, revised 01/24, revealed: .All food, non-food items and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption . Dry Storage .Hang scoops. […]

• No harm, potential for more than minimal, widespreadF880Mar 1, 2023

  Based on observations, record review, staff and resident interviews, and facility policy review, the facility failed to maintain an effective surveillance program to prevent the possible spread of infection as evidenced by the failure to ensure that staff, visitors and other hospital departmental employees who entered the Transitional Care Unit (TCU) were screened related to signs and symptoms (S/S) of COVID-19 and failed to ensure Personal Protective Equipment (PPE) was worn appropriately for staff and visitors while on the TCU for three (3) of three (3) days of survey. Findings include: A review of the facility's policy, Infection Prevention and Control Program, revised 11/5/2021, revealed, .Policy Interpretation and Implementation .c. […]

• No harm, potential for more than minimal, patternF695Mar 1, 2023

  Based on observations, staff interviews, record review and facility policy review, the facility failed to ensure cautionary and safety signs indicating the use of oxygen were posted for two (2) of (2) sampled residents. Resident #4 and Resident #215 Findings include: A review of the facility's Piped Medical Gas and Vacuum Systems Policy, revised 1/19/2018, revealed the facility required precautionary signage on each door or gate of a cylinder storage room. The policy did not include the posting of cautionary and safety signs wherever oxygen was being administered. Resident #4 On 2/27/23 at 4:52 PM, during an observation, Resident #4 was at sitting in a chair at bedside and was wearing a nasal cannula. She stated that she needed oxygen at all times. […]

• No harm, potential for more than minimal, isolatedF550Feb 19, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure Resident #37's right to dignity by leaving the resident's urinary catheter drainage bag uncovered and visible for one (1) of (13) sampled residents.Findings include:A review of the facility's policy, Resident Rights, published 2/18/26, revealed, .Each resident has the right to be treated with dignity and respect.Policy Interpretation and Implementation.1. The resident has the right to have a dignified existence.9. Refraining from practices demeaning to residents such as leaving urinary catheter bags uncovered.On 2/17/26 at 8:50 PM, during an observation, Resident #37's urinary catheter drainage bag was hanging uncovered on the side of the bed. […]

• No harm, potential for more than minimal, isolatedF882Sep 4, 2024

  Based on staff interview and facility policy review, the facility failed to insure the facility's Infection Preventionist (IP) completed specialized training in infection prevention and control for two (2) of two (2) days of the recertification survey. Findings include: A review of the facility's policy, Infection Preventionist, dated 3/15/23, revealed, .The Infection Preventionist is responsible for coordinating the implementation and updating of our established Infection prevention and control policies and practices. Policy Interpretation and Implementation .2. The Infection Preventionist will .d. […]