Wells Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Wells Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 3, 2026

  Based on observations, record review, and interviews during a survey, the facility failed to ensure residents were free from abuse for one (1) (Resident #1) of three (3) residents reviewed for abuse. On 02/04/2026, Resident #1 became combative during a shower, striking Certified Nurse Aide #2. Certified Nurse Aides #1 and #2 continued to provide shower care. Certified Nurse Aide #1 stated they continued the care and tried to deflect some of the blows toward Certified Nurse Aide #2. Resident #1 sustained injuries including skin tears, scattered bruising to right arm, hematoma (a localized collection of clotted or partially clotted blood outside blood vessels, often resulting from injury or trauma) on the back of head, a head laceration (cut), and a bruised left ankle. […]

• Actual harm, isolatedF600Sep 12, 2024

  Based on record review and interviews during the recertification and abbreviated survey (Case #NY00338006), the facility did not ensure the resident's right to be free from neglect for 1 (Resident #48) of 18 residents reviewed for abuse and neglect. Specifically, on 4/03/2024, Certified Nurse Aide #2 did not use two-person assist for bed mobility as required in Resident #48's Comprehensive Care Plan while providing care to the resident. Resident #48 rolled out of bed onto the floor. Resident #48 sustained a pelvis fracture (a break of the bony structure of the pelvis). […]

• No harm, potential for more than minimal, patternF812Oct 27, 2021

  Based on observation, record review, and staff interview during the recertification survey, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, the concentration of quaternary ammonium compound chemical sanitizing rinse (QAC) was less than that required by the manufacturer and equipment required cleaning. This is evidenced as follows. The kitchen was inspected on 10/21/2021 at 10:36 AM. The concentration of QAC used to sanitize food contact equipment was found to be 150 parts per million (ppm) when measured at 71 degrees Fahrenheit (F). The manufacturer's label directions stated the concentration is to be between 200 ppm and 400 ppm when the solution is measured between 65 F and 75 F. […]

• No harm, potential for more than minimal, isolatedF582Sep 12, 2024

  Based on record review and interviews during the recertification survey, the facility did not ensure that residents and/or their designated representative were fully informed of their right to an expedited review of a service termination for 2 of 3 residents reviewed. Specifically, the facility did not ensure 2 (Residents #141 and #142) who received Medicare Part A services, received timely notification (2-day notification) of the termination of services with the required form Notice of Medicare Non-Coverage, Form CMS 10123-NOMNC. […]

• No harm, potential for more than minimal, isolatedF761Sep 12, 2024

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice. Specifically, opened medications had no open and/or expiration dates for 1 (2nd floor medication cart) of 2 medication carts reviewed. This is evidenced by: The facility's Medication Storage and Expiration of Medications policy revised on ,d+[DATE] documented, once any medication or biological product was opened, follow manufacturer/supplier guidelines with respect to expiration dates for opened medications. Record the date opened on the medication container when the medication had a shortened expiration date once opened. […]