Wesley Woods Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Wesley Woods Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF755Apr 8, 2025

  Based on interview and record review, the facility failed to maintain accurate and timely medication records to minimize the potential for medication related adverse consequences or events for three (Resident #1, Resident #2 and Resident #3) of five residents reviewed for med errors. A medication error occurred on 11/28/2024 where residents # 1, #2 and #3 all received a double dose of their scheduled narcotic pain medication. Residents #1, #2 and #3 received their first dose at 7pm and the second dose at 8:30 pm. The nursing facility failed to: o follow their policy for medication administration to avoid errors. […]

• Immediate jeopardy, isolatedF600Jun 9, 2023

  Based on interviews and record review the facility failed to ensure residents had the right to be free from abuse for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to ensure a safe environment free from abuse for Resident #1 when CNA A pulled a taser out to scare Resident #1 on 04/29/2023. An Immediate Jeopardy (IJ) was identified to have occurred from 04/29/23 to 05/06/23. This was determined to be a Past Noncompliance IJ due to the facility having to implemented actions that corrected the noncompliance prior to the investigation. The failure could place residents at risk for abuse. Findings included: Review of Resident #1's face sheet reflected the resident was a [AGE] year-old male and was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF600Jun 13, 2024

  Based on interviews and record review, the facility failed to ensure the residents had the right to be free from abuse for one (Resident #1) out of seven reviewed for abuse. The facility failed to prevent abuse by failing to ensure Resident #1 was not pushed by CNA A resulting in a fall in his room on 5/27/2024. This failure placed residents at risk for abuse with potential for injuries, pain, trauma, and hospitalization . Findings included: Review of Resident #1's face sheet dated 6/12/2024 reflected a [AGE] year-old male admitted on [DATE] with diagnoses that included: Osteoarthritis left knee (arthritis of the knee), Alzheimer's Disease (progressive brain disorder that destroys memory and thinking skills), Age-related Macular Degeneration (degenerative condition of the eye affecting… […]

• Actual harm, isolatedF583Aug 2, 2023

  Based on observation, interview and record review, the facility failed to respect the residents' right for 3 (Resident #1, Resident #27, and Resident #42) of 3 residents to send and promptly receive unopened mail, letters, and packages each postal delivery day. The facility failed to ensure Residents #1, #27, and #42 had the right to receive unopened packages. The failure could affect the rights of the facility's residents by opening their packages. Findings included: Review of Resident #1's face sheet dated 08/02/2023 revealed a [AGE] year-old-female with an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for one of one kitchen reviewed for kitchen sanitation The facility failed to label, date, and seal food items in the pantry, refrigerator, and chest freezer on 3/19/2026. This failure could place residents at risk for health complications and foodborne illnesses.Findings included: During an observation on 3/19/2026, between 10:29 a.m. […]