Wesley Park Centre

In the surveyor’s words

From the most serious findings on record at Wesley Park Centre, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 28, 2025

  Based on record and document review, staff and family interviews, the facility failed to follow Physical Therapy recommendations regarding the ambulation status for 1 of 3 residents reviewed for falls (Resident #61). Resident #61 was to be an assist of 2, on [DATE] Resident #61 was only provided an assist of 1 which resulted in a fall. Resident #61 was transferred to a tertiary hospital and diagnosed with a right femur fracture that required surgery on [DATE]. Following surgery, Resident #61 was placed in intensive care and subsequently died on [DATE]. The Death Certificate revealed manner of death: complications of femur fracture due to or as a consequence of ground level fall.The facility reported a census of 65 residents. […]

• Actual harm, isolatedF686Jan 28, 2025

  Based on observations, record review, resident, family and staff interview and policy review, the facility failed to accurately assess and prevent a pressure wound to 1 of 3 residents reviewed for pressure ulcers (Resident #54). The nursing staff identified a pressure wound caused by the Ankle/Foot Orthotic (AFO) splint to right foot and continued to utilize the AFO for transfers, resulting in a wound that needed a higher level of treatment. The facility reported a census of 65 residents. […]

• Actual harm, isolatedF689May 12, 2022

  Based on policy review, record review, observation, and staff interviews, the facility failed to provide adequate nursing supervision and assistance devices to prevent accidents for 2 of 3 residents reviewed (Resident #5 & #8). The facility failed to use a gait belt when they transferred and ambulated (walked) with (Resident #8) in accordance with industry safety standards and facility policy. As a result, the resident fell and sustained a right [CONDITION(S)]. The facility also failed to ensure staff locked the brakes on Resident #5's bed. Resident #5 ambulated independently. When she sat on the bed, it moved and she fell . The facility reported a census of 61 residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF802Jan 28, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure kitchen staff were competent with dishwashing temperature checking procedures. The facility reported a census of 61 residents. Findings include:On 1/25/26 at 10:45 AM, an observation of three (3) dishwashing cycles revealed the rinse-water temperature gauge reached 171 degrees Fahrenheit (deg F) during all three observations. At 10:51 AM, Staff B, dishwasher, was asked to perform a dishwasher temperature check (procedure which uses a color-changing, temperature sensitive strip to confirm the dishwasher rinse-cycle water temperature reaches the required 180 deg F). […]

• No harm, potential for more than minimal, patternF812Jan 28, 2026

  Based on observation, staff interview, and policy review, the facility failed to properly store food in the kitchen, failed to discard a can of damaged applesauce, failed to wear hairnets while in the kitchen, and failed to prevent food contamination by placing a non-food soup bowl in direct contact with a resident's food. The facility reported a census of 61 residents. Findings include:On 1/25/26 at 10:03 AM, Staff A, Cook, was observed in the main kitchen without a hair net.At 10:18 AM, Staff A was observed wearing a hair net.The following items were observed in the refrigerators during the initial kitchen tour: An unlabeled, undated, bowl of green, leafy itemsAn unlabeled, undated, bowl of mixed fruit-like itemsA partially uncovered pan of bacon dated 1/24/26A partially uncovered… […]