Wheatland Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Wheatland Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Oct 30, 2023

  The facility had a census of 38 residents. Based on observation, interview, and record review, the facility failed to employ a full time Certified Dietary Manager (CDM) to supervise the preparation of meals and sanitation in the facility's kitchen. This deficient practice placed the residents of the facility at risk for inadequate nutrition or food borne illness. Findings included: - On 10/24/23 at 08:10 AM, observation revealed Dietary Staff (DS) BB assisted with preparation and serving of the breakfast meal for the residents of the facility. She stated she did not have a dietary manager certification and was currently taking classes for it. On 10/30/23 at 09:16 AM, Administrative Staff A verified it was the facility's policy to employ a certified dietary manager. […]

• No harm, potential for more than minimal, widespreadF812Oct 30, 2023

  The facility had a census of 38 residents. Based on observation, interview, and record review, the facility failed to prepare and serve food in a sanitary manner when dietary staff did not ensure complete hair coverage with the hairnet. This deficient practice placed the residents of the facility who received meals from the facility at risk for food borne illness. Findings included: - On 10/24/23 at 08:10 AM, observation revealed dietary staff in the facility kitchen preparing and serving breakfast to the residents. Dietary Staff (DS) CC wore a beard net but did not cover his mustache. On 10/25/23 at 11:20 AM, observation in the facility kitchen revealed DS CC prepared food without covering his mustache and his hairnet stopped at the middle of the back of his head. […]

• No harm, potential for more than minimal, widespreadF880Oct 30, 2023

  The facility had a census of 38 residents. The sample included 12 residents. Based on record review and interview, the facility failed to implement a water management program for the Legionella disease (Legionella is a bacterium spread through mist, such as from air-conditioning units for large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease or heavy tobacco use are most at risk of developing a pneumonia caused by legionella). This placed the residents in the facility at risk for infectious disease. […]

• No harm, potential for more than minimal, patternF801Jun 26, 2025

  The facility had a census of 39 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to employ a full-time Certified Dietary Manager for 38 residents who reside in the facility and receive their meals from the kitchen. This placed the residents at risk of not receiving adequate nutrition. Findings included: - During the initial tour of the kitchen on 06/24/25 at 07:45 AM, Dietary Staff (DS) BB stated she was not certified but started the course in February. On 06/26/25 at 10:50 AM, Administrative Staff A stated the dietary manager was not certified but was in classes for certification. […]

• No harm, potential for more than minimal, patternF761Oct 30, 2023

  The facility had a census of 38 residents. Based on observation, interview, and record review, the facility failed to store medications in a safe manner consistent with the standards of practice when Certified Medication Aide (CMA) R dispensed medications into plastic pill cups, unlabeled without dosage and instructions or resident names, and left them, uncovered, in the medication cart to be administered at a later time. This placed the resident's at risk for medication errors and /or less than therapeutic medication regimens. Findings included: - On 10/24/23 at 08:30 AM, observation revealed five small plastic cups with various medications in the top drawer of the facility medication cart. […]