Wesley Woods at New Albany

In the surveyor’s words

From the most serious findings on record at Wesley Woods at New Albany, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Dec 29, 2022

  Based on observation, medical record review, hospital record review, facility policy review, physician interview, nurse practitioner interview, and staff interviews, the facility failed to implement a comprehensive and effective pressure ulcer treatment program for one newly admitted resident (Resident #17), who was admitted with intact skin, assessed to be at risk for pressure ulcer development and dependent on staff for bed mobility and personal care. This resulted in Immediate Jeopardy and serious life-threatening harm and/or injuries to Resident #17 on 11/25/22, when the facility failed to ensure adequate interventions and thorough skin assessments were performed timely and routinely for Resident #17 resulting in the development and declining condition of pressure ulcers to an… […]

• No harm, potential for more than minimal, widespreadF812Dec 23, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to store food and drink items in a safe and sanitary manner. This had the potential to affect all 14 residents in the facility who received food from the kitchen. The facility census was 14.Findings include:1. Observation of the kitchen on 12/23/25 at 9:10 A.M. in the reach-in freezer revealed a box containing 21, four (4) fluid ounce containers of nutritional shakes with an expiration date of 09/09/23, a box containing 23, six (6) fluid ounce vanilla shakes with an expiration date of 07/18/25, a box of multiple 4 fluid ounce chocolate shakes with an expiration date of 10/11/25, and a bag of pierogies and a bag of ravioli that were unlabeled and undated. Observation on 12/23/25 at 9:16 A.M. […]

• No harm, potential for more than minimal, patternF695Jun 12, 2025

  Based on medical record review, observation, staff interview and facility policy review, the facility failed to ensure oxygen tubing was dated to reflect the date the tubing was last changed and failed to ensure oxygen tubing was changed per facility policy. This affected four residents (#3, #7, #115, and #116) of four residents reviewed for oxygen care. The facility census was 15. Findings include: 1. Review of the medical record for Resident #115 revealed an admission date of 05/27/25. Diagnoses included pneumonia, chronic obstructive pulmonary disease (COPD), and need for assistance with personal care. […]

• No harm, potential for more than minimal, isolatedF693Jun 12, 2025

  Based on medical record review, observation, staff interview, and policy review, this facility failed to provide proper percutaneous endoscopic gastrostomy (PEG) tube care including checking placement of the PEG tubing prior to administering medication as well as flushing the tubing with water prior to the administration of medication. This affected one (Resident #2) of the one resident reviewed for PEG tube care. The facility identified Resident #2 was the only resident with a PEG tube. The facility census was 15. Findings include: Review of the medical record revealed an admission date of 10/31/23. Diagnosis included protein-calorie malnutrition, gastrostomy status, and cognitive communication deficit. […]

• No harm, potential for more than minimal, isolatedF759Jun 12, 2025

  Based on medical record review, observation, staff interview, and policy review, the facility failed to ensure less than 5 percent (%) medication error rate was maintained when three errors were noted out of 32 opportunities for error, resulting in an error rate of 9.38%. This affected one (Resident #2) of the three residents observed for medication administration. The facility census was 15. Findings include: Review of the medical record for Resident #2 revealed an admission date of 10/31/23. […]