Wayne Center

In the surveyor’s words

From the most serious findings on record at Wayne Center, in the surveyor’s own words.

• Actual harm, isolatedF684Oct 7, 2024

  Based on a review of hospital, and clinical records, and interviews with staff, it was determined that the facility failed to properly assess, monitor, and provide treatment for a resident with known condition of diabetes resulting in the harm of hospitalization after experiencing hypoglycemia (low sugar in blood) for one of three residents reviewed (Resident CL1). Findings include: Review of Resident CL1's clinical record revealed Resident CL1 was admitted to the facility on [DATE]. Review of Resident CL1's diagnosis list includes Diabetes Mellitus (group of metabolic disorders characterized by a high blood sugar level over a prolonged period) long-term (current use of insulin), and Chronic Kidney Disease. […]

• Actual harm, isolatedF684May 10, 2023

  Based on a review of the facility's policy, hospital records and clinical records, and staff interviews, it was determined that the facility failed to follow a physician's order and appropriately monitor the resident's hematuria (blood in urine) and failed to timely notify the physician of resident's abnormal vitals resulting to the harm of being hospitalized for one of six residents reviewed (Resident CL1). Findings include: Review of the facility's policy titled Change in condition: Notification of, with a revision date of June 1, 2021, revealed A Center must immediately consult with the patient's physician where there is: A significant change in the patient's physical mental, or psychosocial status (that is, a deterioration in health, mental or psychosocial status in either… […]

• No harm, potential for more than minimal, patternF686Jul 1, 2024

  Based on clinical records review and staff interview, it was determined that the facility failed to ensure wound treatment and assessment were completed and recommendation of a wound physician was followed for three of eight residents reviewed (Residents 83, 87, and 242). Findings include: Review of Resident 83's clinical records revealed that the resident was admitted to the facility on [DATE], with a diagnosis of Bladder Cancer and duodenal ulcer with surgical treatment. Revie of Resident 83's clinical record revealed resident was admitted with a Stage 2 Pressure Ulcer (Partial-thickness skin loss with exposed dermis) to the lower back with a measurement of 3.7 x 1.2 cms. […]

• No harm, potential for more than minimal, patternF584Sep 23, 2021

  Based on observation and interviews with staff and residents, it was determined that the facility failed to ensure that residents were provided with a clean, comfortable, home-like environment. Findings include: An observation of the resident's bathroom on the first-floor unit was conducted on September 23, 2021, at 10:45 a.m., in the presence of the Housekeeping Supervisor Employee E3. The following were observed. In Room 110 bathroom a brown colored drip on the toilet bowl rim. In Room 111 bathroom a brown colored drip on the toilet bowl rim, dark brown colored drips in front and side of the toilet bowl, dark brown discoloration on the floor of the toilet bowl crevices. […]

• No harm, potential for more than minimal, isolatedF657Jun 26, 2026

  Based on interview and record review it was determined that the facility failed to hold care plan meetings with the required members of the interdisciplinary team for one out of eight residents reviewed (Resident 9).Findings include:Review of Resident 9's quarterly MDS assessment (Minimum Data Set - a mandatory assessment of resident care needs and medical condition) dated May 13, 2026, revealed Resident 9 was cognitively intact and their own representative. Resident 9 was totally dependent on facility staff to complete activities of daily living and dependent on facility staff for mobility. […]