Wesleyan Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jun 27, 2024

  Based on observation, review of medical records, review of facility self-reported incidents (SRI), interviews with staff, interview with family, interview with the Wound Care Certified Nurse Practitioner (WCCNP), interview with the Medical Director (MD), review of timecard punches and review of the facility policy, the facility failed to ensure residents were free from staff-to-resident physical and verbal abuse. This resulted in Immediate Jeopardy and the potential for serious injuries, negative health outcomes, and/or psychosocial harm when on 05/19/24 at approximately 5:30 P.M., the facility failed to recognize and appropriately respond to an allegation of staff-to-resident abuse when Registered Nurse (RN) #500 was witnessed by State tested Nursing Assistant (STNA) #465 and STNA #501… […]

• Immediate jeopardy, isolatedF610Jun 27, 2024

  Based on medical record review, review of self-reported incidents (SRI), interviews with staff, interview with the Medical Director (MD), interview with the Wound Care Nurse Practitioner (WCCNP), review of staff schedules, review of the facility investigation and review of the facility policy, the facility failed to ensure an allegation of staff-to-resident abuse was accurately reported and thoroughly investigated to protect residents from further potential abuse. This resulted in Immediate Jeopardy and the potential for serious injuries, negative health outcomes, and/or psychosocial harm when on 05/19/24 at approximately 10:21 P.M. […]

• Immediate jeopardy, isolatedF686Jun 27, 2024

  Based on observation, review of medical records, interviews with staff, review of hospital records, review of the Certificate of Death, review of the National Pressure Injury Advisory Panel (NPIAP) and review of the facility policy, the facility failed to provide necessary care and services to prevent and subsequently promote healing and/or worsening of a facility acquired pressure ulcer. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injuries, and/or death, when the facility failed to implement interventions to prevent the development of a facility acquired pressure ulcer, such as turning and repositioning and incontinence care for Resident #91, who was at risk for pressure ulcer development. […]

• Immediate jeopardy, isolatedF689Nov 3, 2023

  Based on medical record review, interviews with facility staff, review of an incident report, review of the emergency medical technician (EMT) report, review of the hospital computed tomography scan (CT), review of the hospital emergency room (ER) documentation, and review of the facility policy titled Falls and Fall Risk, Managing, the facility failed to provide adequate supervision and ensure care planned interventions to prevent falls were consistently implemented for one resident (#86) to prevent a fall with injury in the facility. […]

• Actual harm, isolatedF684Jun 27, 2024

  Based on closed medical record review, hospital record review, staff interviews, and review of facility policy, the facility failed to ensure physician ordered treatments were provided to promote healing of a surgical wound. Actual Harm occurred when Resident #90's surgical wound was not assessed until five days after admission and had 60% slough over then wound, physician ordered treatments were not administered as ordered leading to infection of the surgical wound, requiring a seven-day hospitalization , treatment with intravenous antibiotics, and the placement of a wound vacuum for healing. Upon readmission to the facility, the facility failed to initiate the physician order for a wound vacuum for the surgical wound site for three days and then failed to apply and change as ordered. […]