Wabash Senior Living & Rehab

In the surveyor’s words

From the most serious findings on record at Wabash Senior Living & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jun 3, 2026

  Based on observation, interview, and record review the facility failed to notify the physician when a pressure ulcer deteriorated for 1 (R6) of 4 residents reviewed for physician notification in the sample of 40. This failure resulted in an abrasion to the right gluteus progressing to a Stage 4 pressure ulcer that became infected, requiring R6 to be hospitalized with sepsis on two occasions and requiring surgical wound debridement. The Immediate Jeopardy began on 03/23/2026 when R6's wound was identified as deteriorating and the physician was not notified to obtain new treatments or implement new interventions. The Administrator (V1) and the [NAME] President of Clinical Services (V21) were notified of the Immediate Jeopardy on 5/27/26 at 2:36 PM. […]

• Actual harm, isolatedF600Jun 3, 2026

  Based on interviews, record review, and observation the facility failed to prevent resident to resident physical abuse for 1 of 1 (R42) residents reviewed for abuse in a sample of 52. This failure resulted in R42 being attacked on 5/19/2026 by R38, causing a skin tear to her left wrist, bruise to her left thumb, and becoming fearful for her safety.Findings Include:R42's admission Record documents an admission date of 12/18/2025 with diagnoses of type 2 diabetes mellitus without complications, unsteadiness on feet, need for assistance with personal care and muscle weakness among others. R42's MDS (Minimum Data Set) dated 3/24/2026 documents R42 with a BIMS (Brief Interview for Mental Status) score of 15 out of 15 which indicates R42 is cognitively intact. […]

• Actual harm, isolatedF684Jun 3, 2026

  Based on interview, observation, and record review the facility failed to ensure an effective treatment was implemented for a newly identified wound and report worsening of the wound for 1 of 4 (R9) residents reviewed for quality of care in the sample of 40. This failure resulted in deterioration of R9's arterial wound to the right leg.Findings Include:R9's admission Record with a print date of 5/26/26 documents R9 was admitted to the facility on [DATE] with diagnoses that include iron deficiency anemia, depression, cognitive communication deficit, muscle weakness, hypertension, diabetes, and chronic obstructive pulmonary disease.R9's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status score of 03, indicating a severe cognitive deficit.R9's current Care Plan… […]

• Actual harm, isolatedF686Jun 3, 2026

  Based on observation, interview, and record review the facility failed to obtain orders and implement interventions for 1 (R6) of 4 residents reviewed for pressure ulcers in the sample of 40. This failure resulted in an abrasion to the right gluteus deteriorating and becoming infected, requiring R6 to be hospitalized with sepsis on two occasions and requiring surgical wound debridement and the development of a Stage 2 pressure ulcer on R6's left heel. Findings Include:1. R6's admission Record with a print date of 5/26/26 documents R6 was admitted to the facility on [DATE] and included diagnoses of major depressive disorder, atrial fibrillation, obesity, osteoarthritis, and pressure ulcer of left heel. […]

• Actual harm, isolatedF760Apr 19, 2024

  Based on observation, interview and record review, the facility failed to ensure medications were administered as ordered for 1 (R77) of 10 residents reviewed for medication administration in the sample of 38. This failure resulted in R77 experiencing a significant medication error in which 5 additional doses of diuretic medication were administered resulting in dizziness, abnormal lab values, Intravenous Fluid administration, supplemental Potassium medication, and a hospital admission for an Acute Kidney Injury. This past non-compliance occurred between 3/14/24 and 3/19/24. Findings Include: R77's Admission Record documented R77 was [AGE] years old with an admitted to the facility of 03/08/2023. […]