Wayland Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Wayland Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 12, 2021

  Based on resident interview, staff interview, facility document review and clinical record review it was determined that the facility failed to protect one of 35 residents in the survey sample from resident-to-resident abuse. On 2/28/21, Resident #37 and Resident #4 argued in their room which escalated to Resident #37 pushing his wheelchair into Resident #4's table causing a laceration to Resident #4's right lower leg that required treatment in a local emergency room and closure with 9 staples, resulting in harm. The findings include: Resident #4 was admitted to the facility with [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, patternF812Apr 16, 2025

  Based on observation, staff interview, and facility document review, facility staff failed to prepare store and serve food in a sanitary manner in one of one facility kitchens. The findings include: On 04/14/2025 at approximately 11:30 a.m., an observation of the facility's kitchen revealed the following: On 04/14/2025 at approximately 11:25 a.m., an observation of the facility's kitchen revealed a 26-inch fan sitting on a cart blowing into the kitchen and onto a metal shelving unit with four shelves. Observations of the shelves revealed, the top shelf contained 25 clean meal tray covers, the second from the top shelf contained 12 clean tray bottoms, the third from the top shelf contained 30 clean eight-ounce bowls and the bottom shelf contained three racks of clean cups and glasses. […]

• No harm, potential for more than minimal, patternF865Apr 16, 2025

  Based on staff interview and facility document review it was determined that the facility staff failed to evidence a continuous Quality Assurance and Performance Improvement (QAPI) program that monitored its performance and ensured that improvements were sustained, which had the ability to affect all residents within the facility for nine of ten quarters reviewed. The findings included: The facility staff failed to evidence QAPI sign-in sheets for meetings held between Q4 of 2022 and Q4 of 2024. On 4/14/25 at 11:28 a.m., during entrance conference a request was made to ASM (administrative staff member) #1, the administrator for QAPI meeting attendance records from 7/28/22 to the present. […]

• No harm, potential for more than minimal, patternF689Jul 28, 2022

  Based on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide adequate wanderguard monitoring for one of 29 residents, Residents #22; and failed to ensure safety protocols were in place per facility policy for 3 of 3 residents smoking, Residents #36, #38, and #5. The findings include: 1. The facility staff failed to check the placement of (R22's) wanderguard according to the physician's orders (R22) was admitted to the facility with diagnoses that included but were not limited to: dementia (1). […]

• No harm, potential for more than minimal, patternF700Jul 28, 2022

  Based on observation, resident interview, staff interview and clinical record review, the facility staff failed to implement bed rail requirements for 4 of 29 residents in the survey sample, Residents #21, #149, #13 and #22. The findings include: 1. The facility staff failed to attempt alternatives prior to the use of Resident #21's (R21) bed rails, failed to assess R21 for the risk of entrapment from bed rails, failed to educate R21 or the resident's representative (RR) on the risks and benefits of bed rails and failed to obtain informed consent for the use of bed rails. […]