Wilber Care Center

In the surveyor’s words

From the most serious findings on record at Wilber Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 21, 2026

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observations, interviews and record review, the facility failed to ensure foods were sealed, labeled with date when opened and failed to follow the facility hand hygiene policy to prevent cross contamination while preparing food. This had the potential to affect all residents who ate foods served from the facility kitchen. The facility identified a census of 30. Findings are:A. Initial observation of the kitchen and dry storage room tour (looking at the kitchen from the entrance door adjacent to the dining room and working around room clockwise) on 05/18/2026 from 6:10 AM to 7:10 AM and revealed the following: Stand up freezer by kitchen entrance door temperature was -10 degrees Fahrenheit ( F) and revealed the following:-one loaf of… […]

• No harm, potential for more than minimal, widespreadF838May 21, 2026

  Based on record review and interview, the facility failed to ensure information contained within the Facility Assessment was accurate and reviewed and updated at least annually. This had the potential to affect all residents who reside in the facility. The facility census was 30. Findings are: A record review of a folder provided to the surveyor on 5/18/2026 at 8:43 AM by the Administrator revealed it contained the Facility Assessment with a completion date of 1/27/2025. There was no evidence of the Facility Assessment being reviewed or revised since that date. An interview on 05/19/2026 at 1:50 PM with the Administrator confirmed the folder provided to the surveyor on 5//18/2026 at 8:43 AM was the facility's current Facility Assessment. […]

• No harm, potential for more than minimal, widespreadF730Jan 22, 2025

  Based on record reviews and interviews, the facility failed to complete annual performance evaluations for 4 of 5 Nurse Aides sampled. This had the potential to affect all residents in the facility. The facility census was 37. Findings are: A record review of the employee file for Medication Aide (MA) D with a hire date of 09/19/2009 revealed a Staff Evaluation Report (SER) dated 09/19/2023 and signed by both the evaluator and the employee. A record review of the employee file for MA E with a hire date of 04/16/2022 revealed there was no SER available. A record review of the employee file for MA F with a hire date of 09/10/1998 revealed an SER dated 09/19/2023 and signed by both the evaluator and the employee. […]

• No harm, potential for more than minimal, widespreadF947Jan 22, 2025

  Licensure Reference Number 175 NAC 12-006.04(B)(ii)(1) Based on record reviews and interviews, the facility failed to provide the required annual in-service training for 3 of 5 Nurse Aides sampled. This had the potential to affect all residents in the facility. The facility census was 37. Findings are: A review of the undated User Learning document provided for Medication Aide (MA) D revealed no documentation of any training completed after 10/08/2022. A review of the undated User Learning document provided for MA E revealed some training done in 2024. The Administrator (ADM) had written how many hours the individual courses were, and the total hours provided added up to 6.25 hours. […]

• No harm, potential for more than minimal, patternF689Jun 10, 2026

  Licensure Reference Number 175 NA 12-006.09(I)Based on record review and interviews, the facility failed to implement interventions to provide a safe environment when residents are identified as at risk for elopement (when an individual with dementia leaves a safe or supervised area without authorization or knowledge) for Resident 1, Resident 2, and Resident 3. This affected 3 of 3 residents sampled for elopement. The facility census was 33.Findings are:A.A record review of the facility's Elopement-Missing Resident policy last revised 03/01/2024 and in place at the time of Resident 1's elopement revealed that preventative measures were:-maintenance supervisor to check all doors weekly to assure the Wanderguard doors were functioning.-identify residents at risk for elopement and put a… […]