Wellsburg Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF684Jul 5, 2023

  Based on medical record review and staff interview, the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice. Staff's failure to roll a resident towards self and instead rolling the resident towards the opposite side of the bed resulted in harm from a fall with major injury. This is true for one (1) of four (4) residents reviewed for quality of care. Resident identifier: #100. Facility census: 55. Findings included: a) Resident (R) #100 Review of the medical record on 07/05/23, noted Resident #100 had a diagnosis of Alzheimer's Disease and dementia with severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF880Jun 10, 2026

  Based on observation resident interviews, staff interviews and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections with regards to the resident's personal products and unsanitary practices. Resident identifiers: #7, #31, #18, and #52. Facility Census: 52.Findings Included:a) Resident #7:During a facility walkthrough and resident interviews on 06/08/26 at 12:59 PM, it was observed that Resident #7's wheelchair had rips and tears on the edge of the seat and a round hole on each corner of the back rest by the handles exposing the inner padding. […]

• No harm, potential for more than minimal, patternF623Jan 23, 2025

  Based on medical record review and staff interview, the facility failed to ensure a written Notice of Transfer / Discharge which included the resident's right to submit an appeal and the name, address (mailing and email), and telephone number of the Office of the State Long-Term Care Ombudsman, was provided to residents/resident representatives for five (5) of five (5) residents reviewed for hospitalization s during the long-term care survey process. This had the potential to affect all residents being transferred or discharged . Resident identifiers: #20, #52, #12, #21 and #33. Facility census: 52 Findings included: a1) Resident #20 - 07/05/24 hospitalization A record review completed on 01/22/25 at 1:49 PM revealed that resident had been transferred to the hospital on 07/05/24. […]

• No harm, potential for more than minimal, patternF585Feb 1, 2023

  Based on record review, facility concern/grievance review, staff interviews and individual interviews, the facility failed to ensure prompt efforts were made to resolve grievances for three (3) of five (5) residents reviewed. Resident identifiers: Resident #3, #21 and #150. Census: 52. Findings included: a) Policy review A review of Policy, NS 1601-00, titled: Resident Grievance, effective date, 01/12/2017,showed under Section 1. a., upon receipt of an oral, written, or anonymous grievance submitted by a resident, the Grievance Official would take immediate action to prevent further potential violations. The policy noted, under Section 4., the grievance review will be completed in a reasonable time frame consistent with the type of grievance. Under Section 5. […]

• No harm, potential for more than minimal, patternF679Feb 1, 2023

  Based on observation, facility record review and staff interview, the facility failed to provide a meaningful activity prior to lunch in the dining room. This is true one of one reviewed for activities but has the potential to affect all 16 residents eating in the dining room. Resident identifiers: 20, 5, 10, 41, 38, 31, 23, 34, 201, 13, 7, 1, 6, 12, 4, 2. Facility census: 52. Findings include: a) An observation on 01/30/23 at 12:00 PM. found staff escorting residents into the dining room for lunch. No activities or drinks were offered until the food truck arrived at 12:25 PM. During this time, Resident (R) #1 repeatedly stated I am bored and asked for something to do before lunch arrived. Registered Nurse (RN) #31 repeatedly escorted R#1 back to her table and offered to talk with her. […]