Wellington Health and Rehab

In the surveyor’s words

From the most serious findings on record at Wellington Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 26, 2025

  The facility reported a census of 43 residents, and one main kitchen. Based on observation, record review and interview the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria. This placed the residents at risk for food borne illnesses. Findings included:- Observation of the kitchen and food storage areas on 08/24/25 at 09:40 AM revealed the following areas of concern:Walk-In Cooler:A white Styrofoam cooler on the top shelf, with no date and no label, contained several rolled-up items in foil. […]

• No harm, potential for more than minimal, widespreadF880Nov 1, 2023

  The facility reported a census of 40 residents with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to ensure good infection control techniques for residents in the facility by the failure to change gloves and perform hand hygiene when going from soiled to clean while providing wound care for one resident, Resident (R18), and while providing incontinent care on residents and the failure to disinfect the full body mechanical lift after use on R7 who required use of the lift for transfers. Findings included: - Observation on 10/31/23 at 02:20 PM revealed Certified Nursing Assistant (CNA) E and CNA F entered R7's room. Both staff donned (applied) gloves. […]

• No harm, potential for more than minimal, widespreadF881Apr 14, 2022

  The facility reported a census of 34 residents. Based on record review and interview, the facility failed to ensure ongoing antibiotic stewardship to ensure appropriate antibiotic use. Findings included: - Review of the notebook containing a log of infection tracking for January 2022, revealed a Physician Order, dated 01/05/22, instructed staff to administer to resident (R)24, [MEDICATION(S)] (anantibiotic) 500 milligrams (mg), twice a day, for urinary tract infection, but lacked culture results. […]

• No harm, potential for more than minimal, isolatedF689Aug 26, 2025

  The facility reported a census of 43 resident. The sample included 12 residents with three residents sampled for accidents. Based on observation, interview, and record review, the facility failed to complete a thorough root cause analysis to identify causative factors and/or failed to implement the care planned interventions to prevent further falls for Resident(R) 38 and R28. This deficient practice placed the residents at risk for further falls and associated injuries. Findings included- R38's Electronic Health Record (EHR) documented diagnoses which included dementia (a progressive mental disorder characterized by failing memory and confusion), a history of falling, and muscle weakness. […]

• No harm, potential for more than minimal, isolatedF697Aug 26, 2025

  The facility reported a census of 43 resident. The sample included 12 residents with two residents sampled for pain management. Based on observation, interview, and record review, the facility failed to monitor, treat and provide interventions including medication and non-pharmacological measures to manage Resident (R) 28's pain in accordance with his goals and preferences. This deficient practice placed the resident at risk for unmanaged pain, a decline in function and impaired quality of life. […]