Wickliffe Country Place

In the surveyor’s words

From the most serious findings on record at Wickliffe Country Place, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 8, 2026

  Based on medical record review, facility self-reported incident (SRI) review, facility policy review, facility investigation review, hospital record review, interdisciplinary team (IDT) summary review, and staff interview, the facility failed to protect the resident's right to be free from physical abuse by another resident. This affected one resident (Resident #162) of four residents reviewed for abuse. The facility census was 128.Actual harm occurred on 10/26/25 when Resident #162 sustained nasal bleeding and fractures of the maxilla and nasal bone after being struck by Resident #161. […]

• Actual harm, isolatedF686Sep 29, 2022

  Based on observation, record review, interview, and policy review the facility failed to ensure appropriate interventions were implemented to timely identify pressure ulcers for Resident's #1 and #80. Actual Harm occurred on 09/08/22 when Resident #80, who required extensive assistance with two staff for bed mobility and transfers was observed to have a new unstageable pressure ulcer (full-thickness tissue loss in which the base of the ulcer is covered by slough and/or eschar) to the right gluteal fold when first observed by Licensed Practical Nurse (LPN)/Wound Nurse #629. […]

• Actual harm, isolatedF686Sep 29, 2021

  Based on observation, record review, and interview the facility failed to ensure appropriate care for pressure ulcers, failed to provide ordered care for pressure ulcers, failed to accurately document pressure ulcer locations, and failed to prevent the development of a pressure ulcer for Resident #54. This caused actual harm when Resident #54 developed a Stage 3 pressure ulcer (involving full-thickness tissue loss) in the facility on 09/13/21, had no documented orders or treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected one (Resident #54) of three residents reviewed for pressure ulcers. The facility census was 128. Findings include: Record review for Resident #54 revealed she was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF804Jul 8, 2026

  Based on observation, interview and record review the facility failed to ensure that food was prepared using methods that preserved its nutritional value, flavor, and appearance. This had the potential to affect all 124 residents who received meals from the kitchen, as four residents in the facility were not to receive nutrition by mouth (Residents #20, #30, #84, and #106). The facility census was 128.Findings include:Interview on 06/22/26 at 11:07 A.M. revealed Resident #45 stated the food was bland and had no taste.Interview on 06/22/26 at 12:04 P.M. […]

• No harm, potential for more than minimal, widespreadF812Jul 8, 2026

  Based on observation, interviews, and record review, the facility failed to ensure that food was stored and prepared according to professional standards. This had the potential to affect all 134 residents who received meals from the kitchen as four residents had orders not to receive nutrition by mouth (Residents #20, #30, #84, and #106). The facility census was 128.Findings include:1. Observation on 06/22/26 at 9:54 A.M. revealed that the reach in coolers and food-contact surfaces had a sticky coating on the handles and doors, as well as a visible film of food residue on the surfaces. The sanitizing solution used to wipe kitchen surfaces was also not at the appropriate concentration. […]