The Lodge At Wellmore- Tega Cay

In the surveyor’s words

From the most serious findings on record at The Lodge At Wellmore- Tega Cay, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 25, 2024

  Based on observations, record review, interviews, and review of facility policy, the facility failed to provide adequate supervision to prevent a successful elopement for 1 of 1 resident reviewed for accidents. Specifically, Resident (R)1 had a successful elopement from the facility on 04/08/24. During the elopement, R1 suffered lacerations to the right eyebrow and right side of scalp, scattered, scuffed, bleeding scabbed areas were also noted to R1's right lower leg. On 07/24/24 at 6:59 PM, the Administrator was notified that the failure to prevent a resident from successfully eloping from the facility constituted Immediate Jeopardy (IJ) at F689. […]

• Immediate jeopardy, isolatedF689Oct 16, 2023

  Based on interviews, record review, and review of facility policy, the facility failed to ensure that Resident (R)1 received proper supervision to prevent elopement. Specifically, R1 successfully eloped from the facility on 10/09/23 at approximately 8:30 AM-9:00 AM. She was found down the street, off of the facility premises, approximately 0.6 miles. She was fully dressed appropriately in a sweater, pants, and shoes. On 10/16/23 at 4:01 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• Actual harm, isolatedF689Feb 20, 2025

  Based on review of facility policy, record review, and interview, the facility failed to prevent an avoidable accident, when Resident (R)1 fell out of the bed while receiving care for 1 of 1 resident. Resulting in R1 suffering fractures to the lower left leg. Findings include: Review of the facility policy titled, Falls and Fall Risk, Managing copyright date 2001 MED-PASS, Inc., documented, Based on previous evaluations and current data the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling . Fall Risk Factors 2. Resident conditions that may contribute to the risk of falls include: . c. delirium and other cognitive impairment . l. […]

• No harm, potential for more than minimal, patternF880Apr 3, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to ensure that staff used proper hand hygiene when passing trays during the dining observation for 2 of 2 dining observations. Findings include: Review of the facility policy titled, Handwashing/Hand Hygiene revised on October 2023, documented, Administrative Practices to Promote Hand Hygiene, 2. All personnel are expected to adhere to hand hygiene policies and practices to help prevent the spread of infections to other personnel, residents and visitors. During an observation on 04/04/25 at an unspecified time, Certified Nursing Assistant (CNA)1 was standing in the doorway of the kitchenette on the 400 high hall, CNA1 was observed pulling her hair up into a pony tail. […]

• No harm, potential for more than minimal, patternF812Mar 23, 2023

  Based on observations, interviews, document review, and facility policy review it was determined the facility failed to store food in accordance with professional standards for food service safety in 2 of 4 unit refrigerators. Specifically, the facility failed to: - ensure all resident food had a use-by date and ensure food was discarded by the use-by date; - ensure the refrigerator/freezer was clean and without spills for one of the refrigerators; and - ensure resident drinks and personal items were dated when first opened. Findings include: The Refrigerators and Freezers policy, revised [DATE], indicated, The facility will ensure safe refrigerator and freezer maintenance, temperatures, and sanitation, and will observe food expiration guidelines. […]