Wicomico Nursing Home

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 29, 2024

  Based on a review of a facility reported incident, medical record review, facility documentation review, observation and staff interviews, it was determined the facility failed to keep a dependent resident free from injury while transporting to activities in a wheelchair, which resulted in actual harm to Resident (R) #28. The failure of facility staff to place leg rests on a wheelchair while transporting a resident resulted in a fracture in the lower leg. This was evident for 1 of 30 sampled residents. The facility failed to ensure a resident was free from accident hazards by not identifying new fall interventions for one of three residents (R51) reviewed for falls resulting in a head laceration and pubic fracture. […]

• Actual harm, isolatedF791Aug 29, 2024

  Based on observations, resident and staff interviews, and record review, the facility failed to ensure routine and 24-hour emergency dental care was provided or obtained from an outside resource to meet the needs for one of one resident (Resident (R) 55) reviewed for dental care out of 30 sampled residents resulting in significant weight loss. The facility failed to provide prompt dental services to a resident with identified dental pain by ensuring dental services were properly and timely arranged and completed to ensure continuity of care was provided to the resident. […]

• No harm, potential for more than minimal, patternF657Aug 29, 2024

  Based on record review, observation, and staff interview it was determined that facility staff 1) failed to update care plans when there were changes in resident needs or preferences and 2) failed to thoroughly evaluate and revise resident plans of care after each assessment. This was evident for 6 (#40, #27, #34, #28, #504, #505) of 10 residents reviewed during a complaint survey. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess and evaluate the effectiveness of the resident's care. 1) On 8/26/24 at 10:00 AM Resident #40's medical record was reviewed and revealed an August 2024 physician's order for, Geri sleeves to bilat arms at all times. May remove for care, then reapply, every shift for skin discoloration. […]

• No harm, potential for more than minimal, isolatedF600Aug 28, 2026

  Based on review of facility documentation, medical record review and interviews, it was determined the facility staff failed to protect a resident from verbal abuse from facility staff. This was evident for 1 (Resident #7) of 4 residents reviewed for abuse during a complaint survey. The findings include: Review of facility reported incident 3038684 was conducted on 8/25/26 regarding verbal abuse of Resident #7 on 6/8/26 by Staff #7. Review of Resident #7's medical record on 8/25/26 revealed the Resident was admitted to the facility in 2024. Review of the Facility Reported Incident Initial Report Form provided by the Administrator on 8/25/26 revealed on 6/9/26 Resident #7 reported to the Director of Nursing that Staff #7 told the Resident you need to shut your fat a** up. […]

• No harm, potential for more than minimal, isolatedF609Aug 28, 2026

  Based on review of facility documentation, medical record review, and interviews, it was determined the facility failed to report an alleged abuse (Resident #3) and an injury of unknown origin (Resident #4) immediately to the Nursing Home Administrator and within 2 hours to the regulatory agency, the Office of Health Care Quality (OHCQ). This was evident for 2 of 8 residents reviewed for facility reported incidents during a complaint survey.The findings include: 1) Review of facility reported incident 3044037 was conducted on 8/25/26 revealed Resident #3 reported to Staff #27 on 6/11/26 that Staff #20 was rough and she throws me around like a bag of potatoes. […]