Wharton Nursing Home

In the surveyor’s words

From the most serious findings on record at Wharton Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 24, 2024

  Based on facility policy review, medical record review, and interview, the facility failed to protect the resident's right to be free from physical and verbal abuse by a family member for 1 of 8 (Resident #2) sampled residents reviewed for abuse . Resident #2, a vulnerable and severely cognitively impaired resident, was observed being mentally and physically abused by Family member #2 on 4/23/2024. The facility's failure to protect the resident's right to be free from physical and verbal abuse placed Resident #2 and other residents in the facility in an Immediate Jeopardy (IJ) situation, (A condition in which facility noncompliance with one or more conditions of participation has resulted in or is likely to result in serious injury, harm, impairment, or death to a resident and must be… […]

• Immediate jeopardy, isolatedF609May 24, 2024

  Based on facility policy review, medical record review, facility documentation review, and interview, the facility failed to report an allegation of abuse to the appropriate agencies within the required timeframe for 1 of 8 (Resident #2) sampled residents reviewed for abuse. Resident #2, a vulnerable and severely cognitively impaired resident, was observed being mentally and physically abused by Family member #2 on 4/23/2024. The facility's failure to report an allegation of abuse placed Resident #2 and other residents in the facility in an Immediate Jeopardy (IJ) situation, (A condition in which facility noncompliance with one or more conditions of participation has resulted in or is likely to result in serious injury, harm, impairment, or death to a resident and must be immediately… […]

• Immediate jeopardy, isolatedF656May 24, 2024

  Based on review of facility policy, medical record review, and interviews, the facility failed to develop a comprehensive care plan and implement appropriate interventions for 1 of 4 (Resident #2) sampled residents reviewed for care plans. On 4/23/2024, Resident #2's family member was observed being verbally and physically abusive toward Resident #2 and the facility failed to develop interventions to ensure Resident #2 was safe and monitored for his psychosocial wellbeing, latent injuries, and ensure all staff members were aware Family member #2 was not allowed in the facility following an abuse incident by a Family member. […]

• Immediate jeopardy, isolatedF689Aug 15, 2022

  Based on review of a facility policy, medical record review, review of facility documentation, interviews, and observations, the facility failed to accurately assess for risk of elopement and failed to implement interventions and provide supervision to prevent elopement for 2 residents (#1, #4) of 7 residents reviewed. The facility's failure to correctly interpret Elopement Risk Assessments and supervise the residents placed Resident #1 and Resident #4 in Immediate Jeopardy (IJ) (a situation in which a provider's non-compliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident) when the residents eloped to an unsafe environment. […]

• Actual harm, isolatedF689Feb 22, 2024

  Based on facility policy review, medical record review, observation and interview, the facility failed to prevent accidents related to falls for 1 resident (Resident #45) of 5 residents reviewed for falls when effective and appropriate interventions to prevent falls were not implemented which resulted in actual harm to Resident #45. The findings include: Review of the facility's policy titled, Accidents and Supervision, updated on 8/21/2023, showed .The resident environment will remain as free of accident hazards as is possible. Each resident will receive adequate supervision and assistive devices to prevent accidents. […]