Wedgewood Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jun 21, 2023

  Based on record review and interview, the facility failed to ensure the physician's orders were followed to schedule a paracentesis for a resident with ascites and jaundice which resulted in the unstable hospitalization which was followed by the death of Resident C for 1 of 32 residents reviewed for Quality of Care. (Resident B) The Immediate Jeopardy began on 9/30/22 when facility staff failed to schedule an appointment as ordered for Resident C to have a paracentesis (procedure to remove excess fluid buildup from the abdomen) procedure performed to relieve the resident's ascites (collection of fluid in the abdomen). The Executive Director (ED), Director of Nurses (DON) and Regional Director of Clinical Operations (RDCO) were notified of the immediate jeopardy at 12:51 p.m. on 6/20/23. […]

• Actual harm, isolatedF697Jul 21, 2022

  Based on observation, record review, and interview, the facility failed to ensure narcotic pain medication was reordered in a timely manner for a resident, which resulted in the resident experiencing severe pain, 4 days without her routine pain medication, difficulty sleeping, multiple stools, and irritability, and episodes of extended crying for 1 of 6 residents reviewed for pain. (Resident 8) Findings include: During an observation and interview on 7/18/22 at 9:26 a.m., Resident 8 was resting in bed. She indicated she had a lot of pain. She took [MEDICATION(S)] in the morning and the evening. She didn't known until the night before she had as needed medication she could take. The facility was out of her [MEDICATION(S)] currently. […]

• Actual harm, isolatedF686May 4, 2021

  Based on observation, interview, and record review, the facility failed to ensure appropriate and current interventions were implemented to prevent pressure ulcers which resulted in a resident (Resident G) acquiring a stage 3 (full thickness skin loss potentially extending into the subcutaneous tissue layer) pressure ulcer to the left buttock and a resident (Resident F) acquiring a stage 2 (partial thickness skin loss involving the epidermis, dermis, or both) pressure ulcer to the left buttock and an unstageable (full thickness loss in which the base of the ulcer is covered) pressure ulcer to the left heel and ball of the left foot, for 2 of 3 residents reviewed for pressure ulcers. Findings include: 1. The clinical record for Resident G was reviewed on 5/3/21 at 12:12 p.m. […]

• No harm, potential for more than minimal, patternF565Aug 12, 2024

  Based on record review and interview, the facility failed to promptly resolve the grievances and recommendations made by the Resident Council during 12 of 12 meetings and 5 of 7 Food Committee meetings reviewed in that the same issues were being reported as continuing problems. Findings include: 1. The Resident Council meeting, held on 7/25/23, indicated the following concerns were not addressed by the responsible department or resolved: - Clean rooms more. - Better and more snacks for all the halls as residents didn't know where they went - Be informed about medication changes. - Problem with medications on the 500 Hall. - Asked for help twice and did not get it. On 7/25/23, the Director of Nursing (DON) addressed the issue residents were having in getting their showers. […]

• No harm, potential for more than minimal, patternF812Aug 12, 2024

  Based on observation, record review, and interview, the facility failed to ensure the kitchen was maintained in a sanitary manner for 4 of 4 kitchen observations. This deficient practice had the potential to affect all 97 residents currently residing at the facility. Findings include: 1. During the initial tour of the kitchen, on 8/5/24 at 9:30 a.m., while accompanied by the Dietary Manager and the Regional Dietary Manager, the following concerns were observed: In the Dry Storage Room the following was observed: - Three (3) of three (3) food shelves had crumbs under them - raisin bran. […]