Wellington Rehabilitation and Healthcare

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Sep 4, 2024

  Based on record review, and staff, Responsible Party (RP) and Physician interviews the facility failed to administer seizure medication to Resident #19 on 10/2/23 after he returned to the facility from the hospital, resulting in 4 missed doses of seizure medication. Resident #19 did not receive Keppra (an anti-seizure medication) beginning on 10/2/23 when he returned to the facility from the hospital through 10/4/23. On 10/4/23 Resident #19 suffered seizures in the facility, requiring readmission to the hospital. On 10/4/23 Resident #19 suffered a tonic/clonic seizure (loss of consciousness and violent muscle contractions which can be dangerous and potentially life threatening) lasting about 1 minute in the hospital which required the administration of intravenous (IV) Keppra. […]

• No harm, potential for more than minimal, widespreadF836Jul 12, 2023

  Based on record review, and staff interview the facility failed to ensure a nurse's license was verified for 1 of 5 nurses reviewed for licenses. (Nurese # 1) The findings included: Nurse #1 was hired on [DATE] as a Registered Nurse (RN) and terminated on [DATE]. A review of an RN license with the North Carolina Board of Nursing (NCBON) dated [DATE] revealed license number of an RN with the same name as Nurse #1 was issued on [DATE]. Nurse #1 would have been 5 years old at the time of issue. A review of the NCBON license verification with the same name as Nurse #1 revealed an RN permanent license with approval date of [DATE] and expiration date of [DATE] that was active. […]

• No harm, potential for more than minimal, widespreadF680Mar 29, 2022

  Based on record reviews, observation, resident interview, and staff interviews, the facility failed to ensure the activities program was directed by a qualified professional. This resulted in the facility's failure to develop, implement, supervise, and provide ongoing evaluation of the activities program. This deficient practice had the potential to affect all 67 residents in the facility. Findings included: During observation on 3/21/22 at 12:02 PM there was no activities calendar observed posted in the facility. Review of the undated Manager of Resident Activities Job Description revealed the duties of the Activities Director included to assist with planning, organizing, implementing, and evaluating the activity programs of the facility. […]

• No harm, potential for more than minimal, patternF584Jan 26, 2024

  Based on observation, record review, resident interviews, and staff interviews, the facility failed to ensure repairs for cracks, holes, a water damaged wall, broken blinds, and discolored flooring were completed for two (Residents # 6 and # 7) of two residents reviewed for environmental concerns and for two random rooms. The findings included. 1a. Resident # 7 was admitted to the facility on [DATE]. The resident's 1/3/24 quarterly MDS (Minimum Data Set) assessment coded the resident as having moderate cognitive impairment. According to Resident # 7's record, she had resided in the same room since 8/8/23. Resident # 7's room was observed on 1/22/24 at 10:35 AM and the following observations were made. The resident's AC/Heating unit was one which was installed through the wall. […]

• No harm, potential for more than minimal, patternF755Jan 26, 2024

  Based on record review, resident interview, and staff interviews the facility failed to obtain medications from the pharmacy for administration. This was for two (Residents # 1 and # 5) of two residents whose medications were reviewed. The findings included: 1. Resident # 1 resided at the facility from [DATE] to [DATE]. The resident had diagnoses which included chronic obstructive pulmonary disease, hypertension, anxiety, coronary artery disease, and a history of coronary artery bypass surgery. Prior to residing at the facility, Resident # 1 had been hospitalized from [DATE] to [DATE] and treated for RSV (Respiratory Syncytial Virus) bronchitis. Resident # 1's care plan, dated [DATE], noted Resident # 1 contracted COVID on [DATE]. […]