Wellsville Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801May 21, 2026

  Based on observation, interview, and record review, the facility failed to provide the services of a full-time Certified Dietary Manager (CDM) for the residents who resided in the facility and received their meals from the kitchen. Findings included: - On 05/20/26 at 11:00 AM, Dietary Staff BB verified she was the Certified Dietary Manager (CDM) for the two facility kitchens but continued to work at another facility as well.During an interview on 05/21/26 at 09:35 AM, Administrative Staff A stated there should be a full-time CDM on site, and this was the expected transition for Dietary Staff BB. […]

• No harm, potential for more than minimal, widespreadF812May 21, 2026

  Based on observation, interview, and record review, the facility failed to ensure effective sanitizing of dishes when the sanitizer did not reach 120 degrees Fahrenheit, in one of the facility's two kitchens. Findings included:- During an observation on 05/20/26 at 12:15 PM, Dietary Staff EE ran a cycle of glassware through the sanitizer, in the secondary kitchen, and verified the temperature was 111 degrees Fahrenheit (F). During an interview on 05/20/26 at 12:30 PM, Maintenance Staff U confirmed the temperature on the sanitizer should be 120 degrees F. On 05/20/26 at 03:00 PM, Maintenance Staff U stated the temperature on the sanitizer was adjusted to 120 degrees Fahrenheit. […]

• No harm, potential for more than minimal, widespreadF880May 21, 2026

  Based on observation, interview, and record review, the facility failed to implement adequate infection control practices when staff failed to perform hand hygiene and failed to sanitize shared equipment. Findings included:- On 05/20/2026 at 01:25 PM, an observation revealed Certified Nurse Aide (CNA) P and CNA N used a Hoyer lift (full body mechanical lift) for Resident (R) 35 who was on Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) and transferred the resident from the wheelchair to the bed to change the resident's soiled brief. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2024

  The facility reported a census of 43 residents. Based on observation, record review and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the kitchen on 08/20/24 at 07:41 AM, the following areas of concern were noted: 1. The trash can in the dish washing area contained dried-on food and liquid substances on all sides and the lid. 2. The trash can by the hand washing sink contained dried-on food and liquid substances on all sides and the lid. 3. The shelf underneath a preparation table which held plastic pitchers, cutting boards and clean eating utensils, contained food debris. 4. […]

• No harm, potential for more than minimal, widespreadF812Nov 30, 2022

  The facility reported a census of 48 residents. Based on observation, interview and record review, the facility failed to store, prepare, and serve food in a sanitary manner for the residents of the facility. Findings included: - Observation, on 11/28/22 at 08:44 AM, revealed the following areas of concern in the refrigerators in the main kitchen: 1) Five condiment squeeze bottles without caps over the open tips. 2) Three sausage patties in a baggie dated 11/21/22. 3) Biscuit gravy in a plastic container dated 11/23/22. 4) An opened bag of bacon bits dated 11/12/22. 5) Sliced black olives in a plastic bag dated 11/15/22. 6) Two ice packs for resident treatments. 7) A resident's personal bowl of turkey and mashed potatoes covered with plastic wrap dated 11/25/22. […]