Wesley Enhanced Living - Doylestown

In the surveyor’s words

From the most serious findings on record at Wesley Enhanced Living - Doylestown, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to store and serve food in a sanitary manner in the dietary department, the activities room kitchenette, and on one of three nursing units. (Nursing Unit N2) Findings include: Review of the facility policy entitled, Bare Hand Contact with Food and Use of Single-Use Gloves, last reviewed on October 29, 2025, revealed that staff were to change gloves as often as necessary to remove soil and contamination and to prevent cross contamination when changing tasks, and any time a contaminated surface was touched. Observation of the meal service in the satellite kitchen on N2, on March 4, 2026, between 11:30 a.m. […]

• No harm, potential for more than minimal, patternF550Mar 5, 2026

  Based on clinical record review, staff and resident interviews, and review of electronic call bell logs, it was determined that the facility failed to answer call bells in a timely manner to provide care and services respectful of each resident's dignity and preferences to promote quality of life for five of 15 sampled residents. (Residents 3, 6, 8, 21, and 32)Findings include: Clinical record review revealed that Resident 3 had diagnoses that included heart failure and debility. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident was able to communicate his needs to staff and required assistance from staff for activities of daily living, such as toileting and dressing. […]

• No harm, potential for more than minimal, isolatedF684Mar 5, 2026

  Based on a clinical record review and staff interview, it was determined that the facility failed to implement physicians' orders for one of 15 sampled residents. (Resident 32)Findings include:Clinical record review revealed that Resident 32 had diagnoses that included hypotension (low blood pressure) and Parkinson's disease. A physician's order dated December 6, 2024, directed staff to administer 5 mg of a blood pressure medication (midodrine) three times daily. The physician ordered that staff were not to administer the medication if the resident's systolic blood pressure (SBP, the first measurement of blood pressure when the heart beats and the pressure is at its highest) was higher than 140 millimeters of mercury (mm/Hg). […]

• No harm, potential for more than minimal, isolatedF810Mar 5, 2026

  Based on clinical record review and observation, it was determined that the facility failed to ensure that adaptive equipment was provided to one of 15 sampled residents. (Resident 4)Findings include: Clinical record review revealed that Resident 4 had diagnoses that included Parkinson's Disease. Occupational therapy documentation dated August 25, 2025, indicated the resident was to use weighted utensils with meals to increase independence with self-feeding. A review of the resident's care plan indicated that the resident was to use a weighted fork and spoon at all meals. On April 8, 2025, a physician order directed staff to have adaptive equipment in place according to the resident's care plan. Observations on March 4, 2026, from 12:15 p.m. […]

• No harm, potential for more than minimal, isolatedF697Feb 21, 2025

  Based on clinical record review and staff interview it was determined that the facility failed to attempt non-pharmacological interventions to alleviate pain prior to the administration of pain medication prescribed on an as needed basis for one of 13 sampled residents. (Resident 8) Findings include: Clinical record review revealed that Resident 8 had diagnoses that included dementia, fibromyalgia, and diabetes. On November 25, 2024, the physician ordered for the resident to receive the narcotic pain medication, oxycodone, every four hours as needed for severe, chronic pain. […]