Wellsville Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jun 6, 2022

  Based on interview and record review, the facility staff failed to ensure one resident (Resident #1) remained free from abuse when Nurse Assistant (NA) A brought [MEDICATION(S)] (a synthetic opioid) into the facility and sold the drug to the resident for his/her use. Staff assessed the resident was lethargic and called Emergency Medical Services (EMS). EMS staff utilized [MEDICATION(S)] (used for the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility census was 47. The administrator was notified on [DATE] at 5:08 P.M. of an Immediate Jeopardy (IJ) which began on [DATE]. The IJ was removed on [DATE] as confirmed by surveyor onsite verification. 1. […]

• Actual harm, isolatedF600Jul 24, 2025

  Based on interview and record review, facility staff failed to ensure three residents' (Resident #3, #4, and #5) out of nine sampled residents remained free from physical abuse when Resident #2 who had a history of physical aggression physically assaulted the residents. The facility census was 65.1. Review of the facility's Abuse and Neglect policy, revised 06/12/24, showed staff are directed as follows:-Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish which can include residents and staff;-Physical abuse is purposefully beating, striking, wounding, or injuring which includes but not limited to hitting, slapping, punching, biting, and kicking;-Facility will develop a policy for screening… […]

• No harm, potential for more than minimal, widespreadF725May 8, 2025

  Based on interview and record review, facility staff failed to ensure there was a licensed nurse onsite to provide necessary nursing care and services 24 hours a day, seven days a week. The facility census was 65. 1. Review of the Facility's policies showed staff did not provide a policy for Licensed Nurses. Review of the Facility Assessment, dated 04/18/25, showed staff documented the facility required three Licensed Practical Nurses (LPNs) daily. Review of the Nurse Staff Schedule, dated October 2024, showed staff did not ensure 24-hour a day licensed nurse coverage on: -10/19/24 for 11 hours and 18 minutes; -10/20/24 for 15 hours and 52 minutes; -10/27/24 16 hours; -10/28/24 6 hours. […]

• No harm, potential for more than minimal, widespreadF727May 8, 2025

  Based on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN), for at least eight consecutive hours per day, seven days a week. The facility census was 65. 1. Review of the facility's RN policy, revised on 04/30/24, showed the facility will utilize the services of a RN for at least eight consecutive hours per day, seven days per week. Review of the facility Payroll Based Journal (PBJ), a method to collect auditable and verifiable staffing data from nursing facilities, report for Fiscal Year 2024, Quarter 4 (October 1 through December 31) showed triggers for no RN hours for 10/13, 10/15, 10/19, 10/21, 10/26, 10/27, 11/02, 11/24, and 12/02. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2025

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination, out-dated use and the reuse of single-service food containers. Facility staff failed to maintain kitchen equipment and floors clean and in good repair. Facility staff failed perform hand hygiene as often as necessary to prevent cross-contamination. Facility staff failed to allow sanitized dishes to air dry prior to stacking in storage to prevent the growth of food-borne pathogens. Facility staff also failed to properly contain waste and refuse to prevent the harboring and/or feeding of rodents and pests when the facility failed ensure indoor waste containers remained covered when not in actual use. […]