Welcome Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF761Mar 5, 2026

  Based on observation, medical record review, staff interview, review of the pharmacy refrigerated medication list, review of manufacturer guidelines, and review of facility policy, the facility failed to ensure safe medication handling and proper labeling of multi-use vials. Additionally, the facility failed to ensure medications were not left unattended, affecting one (#71) resident with the potential to affect the direct safety risk of 14 residents (#09, #10, #15, #16, #25, #28, #29, #39, #41, #70, #77, #81, #89, #91) who were identified by the facility as being cognitively impaired, independently ambulatory, and residing on the 200 hall. The facility census was 91. Findings include: 1.Observation on 03/03/26 at 7:30 A.M. […]

• No harm, potential for more than minimal, patternF689Mar 5, 2026

  Based on observation, staff interview, product label review, and facility policy review, the facility failed to ensure the resident environment was free from improperly stored hazardous chemicals. This had the potential to affect 14 residents (#9, #10, #15, #16, #25, #28, #29, #39, #41, #70, #71, #81, #89, and #91) identified by the facility as cognitively impaired and independently mobile. The facility census was 91. Findings include: Observation on 03/02/26 at 2:29 P.M. revealed a 10.1-ounce tube of 3M Fire Barrier Sealant Caulk in a caulk gun, approximately three-quarters used, sitting on a handrail in the common area of hall 200. The chemical was within reach of residents and in an area where residents frequently mobilize. […]

• No harm, potential for more than minimal, patternF812Oct 27, 2022

  Based on observations and staff interview the facility failed to maintain a sanitary ice machine. This affected all residents except Residents (#3, #4, #27, #34, #75, #77 and #80) who received nectar like fluids and Residents (#40 and #42) who received no nourishment by mouth. The census was 84 residents. Findings Include: Observations on 10/25/22 at 2:50 P.M. revealed black fuzzy substance located on the upper inside frame of the ice machine. This ice machine was in the hall on the unit. Staff used the machine to provide fresh drinks to the residents. Interview on 10/25/22 at 2:56 P.M., the Administrator and Director of Nursing verified that black fuzzy substance identified on the upper frame above the available ice. […]

• No harm, potential for more than minimal, isolatedF578Mar 5, 2026

  Based on medical record review, staff interview, and facility policy review, the facility failed to ensure an advance directive was in the medical record for Resident #80 and further failed to ensure the advance directive forms for Residents #28 and #97 were signed by the physician. This affected three (#28, #80, and #97) of 91 residents reviewed for advance directive. The facility census was 91.Findings include:1. Review of the medical record for Resident #28 revealed an admission date of [DATE]. Diagnoses included unspecified dementia, unspecified atrial fibrillation, and sleep apnea.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #28 had impaired cognition. […]

• No harm, potential for more than minimal, isolatedF580Mar 5, 2026

  Based on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure physician notification when a significant change in condition occurred for one resident (#66) when a lumen of the resident's peripherally inserted central catheter (PICC) line (a central venous catheter that provides access to the large veins near the heart through a peripheral vein in the arm) was occluded, preventing administration of a physician-ordered intravenous antibiotic (Meropenem). This affected one (#66) of three residents (#14, #53, and #66) receiving intravenous therapy. The facility census was 91. […]