Wayne Woodlands Manor

In the surveyor’s words

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

• Actual harm, isolatedF686Nov 21, 2025

  Based on a review of clinical records, select facility policies, facility-provided investigative documentation, and staff interviews, it was determined the facility failed to prevent the development of pressure injuries and failed to perform timely and thorough assessments of pressure injuries resulting in actual harm for one (Resident 55) of two residents out of 20 sampled residents (Residents 55 and 49). Findings include:According to the US Department of Health and Human Services, Agency for Healthcare Research & Quality, the pressure ulcer best practice bundle incorporates three critical components in preventing pressure ulcers: Comprehensive skin assessment, Standardized pressure ulcer risk assessment, and care planning and implementation to address the areas of risk. […]

• Actual harm, isolatedF600Feb 14, 2025

  Based on review of clinical records, the facility's abuse prohibition policy, and select investigative reports, and interviews with staff and residents, it was determined the facility failed to ensure that a resident was free from neglect by not utilizing a mechanical lift as planned to ensure safety and prevent major injury, fracture of the right femoral neck, for one resident, (Resident 5), out of 18 sampled residents reviewed for abuse prohibition. Findings included: Review of the facility's policy entitled Abuse, Neglect, Mistreatment, Misappropriation of Resident Property and Exploitation Prevention last reviewed by the facility January 2025, indicated that abuse, neglect, misappropriation of resident property, and exploitation of residents would not be tolerated in any manner. […]

• Actual harm, isolatedF600Aug 5, 2024

  Based on a policy review, clinical record review, select document and investigation review, and resident and staff interviews, it was determined that the facility failed to protect residents from sexual abuse, resulting in psychosocial harm for one of four residents reviewed (Resident 1). Findings included: Review of current facility policy, titled Abuse, neglect, mistreatment, misappropriation of resident property and exploitation prevention, revised March 26, 2024, revealed that it is the policy that abuse, neglect, misappropriation of resident property, and exploitation of residents will not be tolerated in any manner. All staff will be provided education related to abuse and components to prevent potential abuse. […]

• Actual harm, isolatedF689May 19, 2023

  Based on a review of clinical records and select investigative reports and staff interviews it was determined that the facility failed to ensure that planned safety and fall prevention measures were consistently implemented and functional to prevent a fall with serious injury, a fractured hip, for one resident out of 21 sampled residents (Resident 19). Findings include: A review of the clinical record revealed that Resident 19 was admitted to the facility on [DATE], for post surgery therapy after a fall at home and a fractured hip. […]

• No harm, potential for more than minimal, widespreadF880Jul 22, 2026

  Based on a review of the clinical records of Resident 1 and Resident 2, representative of the facility's symptomatic resident population, select facility policies, observations, and staff interviews, it was determined the facility failed to implement an effective infection prevention and control program by failing to recognize and respond to a suspected respiratory outbreak, implement transmission-based precautions for symptomatic residents, and implement outbreak control measures after multiple residents developed similar respiratory symptoms affecting 56 residents out of 97 residents residing in the facility.Findings include: A review of a facility policy titled Transmission- Based Precautions January 8, 2026, revealed it is the policy of the facility to implement transmission-based… […]