Wedgewood Nursing Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF693Jan 31, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that residents who received nutrition by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 of 3 residents (Resident #67) reviewed for enteral feeding. 1. RN G failed to contact the physician and obtain orders before using a de-clogger (a device designed to clear obstructed feeding tubes) to unclog Resident #67's g-tube (Gastrostomy tube, tube inserted through the belly that brings nutrition directly to the stomach) on [DATE]. The facility had de-clogger tools onsite, even though they did not train nurses on their use, and it was not an approved method for de-clogging a g-tube. 2. […]

• Immediate jeopardy, isolatedF726Feb 7, 2024

  Based on interview and record review, the facility failed to ensure licensed nurses had the appropriate competencies and skills sets to provide nursing services to care for residents' needs and ensure resident safety, in accordance with professional standards of practice necessary for 1 of 5 residents (Resident #1) reviewed for nursing competencies. The facility failed to ensure LVN C was competent in medication administration when LVN C failed to ensure Resident #1 was administered nitroglycerin (medication used to prevent or relieve chest pain caused by coronary artery disease by relaxing blood vessels), as ordered by the physician on 02/04/24. […]

• Immediate jeopardy, isolatedF760Feb 7, 2024

  Based on interview and record review, the facility failed to ensure residents were free of significant medication errors for 1 of 5 residents (Resident # 1) reviewed for significant medication errors. On 02/04/24, LVN C failed to ensure Resident #1 was administered nitroglycerin (medication used to prevent or relieve chest pain caused by coronary artery disease by relaxing blood vessels), as ordered by the physician. LVN C dispensed an entire bottle of nitroglycerin, which consisted of 25 (0.4 mg) tablets to Resident #1, when the physician order was for 1 (0.4 mg) tablet. Resident #1 was transferred to the emergency room , his initial blood pressure at the ER was 86/42. The noncompliance was identified as PNC. The IJ began on 02/04/24 and ended on 02/05/24. […]

• Immediate jeopardy, isolatedF610Jul 11, 2022

  Based on interviews and record reviews the facility failed to have evidence that all alleged violations were thoroughly investigated for 2of 6 residents (Resident # 1 and Resident #2) reviewed for investigations of abuse and neglect. 1. The facility failed to investigate an allegation of physical abuse for Resident #1 which placed the resident at higher risk for abuse and further injury. 2. The facility failed to investigate an allegation of abuse reported by Resident #2 which affected Resident #1. 3. The alleged perpetrator continued to work with Resident #1 after the allegation of abuse was reported. An Immediate Jeopardy (IJ) situation was identified on 07/08/22 at 4:38 PM. […]

• No harm, potential for more than minimal, patternF558Apr 23, 2026

  Based on observation, interview and record review the facility failed to ensure each resident bedside was adequately equipped to allow all residents to call for staff assistance through a communication system that would relay the call directly to a staff member or a centralized staff work area for 3 of 5 residents (Resident#43, Resident#79, Resident#92) reviewed for resident call system. The facility failed on 04/21/2026 to ensure the call light system was adequately equipped, the call light string was hanging down from the wall, away from the residents. This failure could place residents at risk of not having a means of directly contacting caregivers in an emergency or when they needed support for activities of daily living.Findings included:1. […]