Waddell Nursing And Rehab Center

In the surveyor’s words

From the most serious findings on record at Waddell Nursing And Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF760Jun 24, 2021

  Based on staff interview and clinical record review, the facility staff failed to ensure 5 of 26 residents were free of significant medication errors involving insulin. Residents #3, #92, #58, #2, and #20. The findings included: 06/24/2021 the (DON) director of nursing provided the survey team with a copy of a policy titled, Facilities Receiving Pharmacy Products and Services from Pharmacy. This policy read in part, .Prior to administration of medication, facility staff should take all measures required by facility policy and applicable law, including, but not limited to the following .Verify each time a medication is administered that it is the correct medication at the correct dose . 1. […]

• No harm, potential for more than minimal, isolatedF657Nov 19, 2025

  Based on staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for 1of 24 residents, Resident #9.The findings included. The findings included.The facility staff failed to review and revise Resident #9's CCP when the resident elected to sign a Do Not Resuscitate (DNR) order. The CCP included the focus area of full code. Resident #9's diagnoses included gastro-esophageal reflux disease, anemia, dysphagia, and weakness. Section C (cognitive patterns) of Resident #9's admission minimum data set (MDS) assessment with an assessment reference date (ARD) of 08/17/25 included a brief interview for mental status (BIMS) score of 10 out of a possible 15 points. […]

• No harm, potential for more than minimal, isolatedF684Nov 19, 2025

  Based on staff interview, clinical record review, and facility document review the facility staff failed to administer a medication per the providers orders for 1 of 24 residents Resident #59 and failed to follow a medical provider order for notification of elevated Blood Sugars for 1 of 24 residents, Resident #21. The findings included: 1. For Resident #59, the facility staff failed to ensure they had a prescription for the medication Gabapentin. Resulting in Resident #59 missing 7 doses of this medication. Gabapentin is a controlled medication and requires an updated prescription to be dispensed. […]

• No harm, potential for more than minimal, isolatedF695Nov 19, 2025

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide necessary respiratory services in accordance with professional standards of practice for 1 of 4 closed record reviews, Resident #133. For Resident #133, the facility staff failed to ensure supplemental oxygen was available continuously via nasal cannula to the resident as ordered by a medical provider during transportation to a medical appointment on 12/20/23. Resident #133's diagnosis list indicated diagnoses that included, but were not limited to, COPD (chronic obstructive pulmonary disease), Chronic Respiratory Failure with Hypoxia, Anxiety, and Cerebral Infarction affecting Left Nondominant Side. […]

• No harm, potential for more than minimal, isolatedF761Jun 24, 2021

  Based on observation, staff interview, and facility document review, the facility staff failed to keep a controlled medication in a separately locked, permanently affixed compartment on 1 of 3 units, Unit 2. The findings included: The facility staff failed to secure the medication, [MEDICATION(S)] (a schedule V controlled substance under Virginia state law used to treat seizures and nerve pain) in a separately locked, permanently affixed compartment in the medication cart. On 6/24/21 at 11:40 am, the surveyor accompanied by LPN (licensed practical nurse) #2, observed two separate bubble pack cards of [MEDICATION(S)] in an open area of the medication cart drawer beside the separately locked, permanently affixed, metal compartment containing controlled medications. […]