Wellington Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF805May 13, 2026

  Based on observation, interview, and record review the facility failed to ensure each resident received food prepared in a form designed to meet individual needs for 1 (Resident #1) of 5 residents reviewed for dietary needs.The facility failed, on the evening of 04/30/26, to serve Resident #1 a mechanically soft meal as ordered by her physician. The noncompliance was identified as PNC. The IJ began on 04/30/26 when Resident #1 was served the wrong texture of meal and choked on a meatball. The facility had corrected the noncompliance before the investigator entered the facility.This failure could place residents at risk of aspiration, choking, and/or weight loss. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1of 1 kitchen when they failed to: A. Ensure facility staff wore hair restraints and beard guards while in the kitchen.B. Ensure stored and cooked food was properly labeled, dated and covered.C. Ensure menu substitutions were documented.D. Ensure expired foods were discarded.These failures placed all residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings included:In an interview and record review on 1/28/26 at 10:20 am, the DM produced the menu titled Menu Manager -Weekly menu for the facility for the Fall Winter-week 3 dated 12/5/25. […]

• No harm, potential for more than minimal, widespreadF812Oct 17, 2024

  Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility failed to label and date food properly. The facility failed to store frozen food properly. The facility failed to remove a dented can of mandarin oranges from circulation. These failures could place residents at risk of contracting foodborne illness. Findings Included: An observation on 10/15/24 at 09:47 AM of the upright freezer revealed the following: 1 resealable bag of what appeared to be breaded meat patties. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1 of 1 kitchen reviewed for sanitary conditions when they failed to: A. The facility failed to ensure stored food was properly labeled and dated. B. The facility failed to ensure scoops were not left in the bulk containers (e.g., flour). These failures placed residents who ate food served by the kitchen at risk of food-borne illness. Findings included: Observations on 7/19/2021 beginning at 10:27 AM during initial Kitchen rounds revealed: Refrigerator #1: 1. 1 silver metal bowl containing liquid gelatin with plastic wrap covering was unlabeled and undated. 2. 1 clear bag of green leafy vegetable in clear bag unlabeled and undated. 3. […]

• No harm, potential for more than minimal, patternF584Oct 17, 2024

  Based on observation, interview, and record review the facility failed to protect the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely for 2 (Resident #7 and Resident #20) of 12 residents and 3 of 6 anonymous residents reviewed for resident rights. 1. The facility failed to ensure Resident #7 and Resident #20 had a toilet that flushed properly. 2. The facility failed to ensure 3 of 6 anonymous residents had ready access to hot water in their rooms and/or in the shower. These failures could result in residents feeling frustrated and undignified in their living environment. Findings Included: 1. […]