Wildwood Health and Rehab

In the surveyor’s words

From the most serious findings on record at Wildwood Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 17, 2023

  Based on staff interviews, record review, and review of the facility policies titled, Legionella Water Management Program and Legionella Surveillance and Detection, the facility failed to develop a water management program for the prevention of Legionella. The deficient practice had the potential to affect all residents in the facility. Findings Include: Review of the facility policy titled, Legionella Water Management Program dated July 2017 revealed: Under Policy Statement: Our facility is committed to the prevention, detection, and control of water-borne contaminants, including Legionella. Review of the facility policy titled, Legionella Surveillance and Detection dated July 2017 revealed: Legionnaire's disease will be included as part of our infection surveillance activities. […]

• No harm, potential for more than minimal, patternF758Dec 22, 2024

  Based on staff interviews, record review, and review of the facility's policy titled, Use of Psychotropic Medication, the facility failed to ensure that psychotropic medications were not ordered as needed (PRN) for more than 14 days unless clinically indicated for four of eight residents (R) (R16, R25, R238, and R239) reviewed for unnecessary medications. This deficient practice had the potential to adversely affect R16, R25, R238, and R239's highest practicable mental, physical, and psychosocial well-being. Findings include: Review of the facility's policy titled, Use of Psychotropic Medication, dated 8/28/2023, revealed the Policy Explanation and Compliance Guidelines section included .9. […]

• No harm, potential for more than minimal, patternF761Dec 8, 2021

  Based on observations, interviews, and review of facility policies titled Storage of Medications and Administering Oral Medications, the facility failed to ensure the proper disposal of expired medication, label open vials and bottles of medication, and monitor refrigerator temperatures daily for one of one medication storage rooms and two of two medication carts observed. Findings include: Observation on 12/7/21 at 9:00 a.m. of Medication Cart 2 revealed two medications were past expiration date and all dates were confirmed by Licensed Practical Nurse (LPN) AA: [MEDICATION(S)] tablets x 1 bottle expired 11/21 and Acetaminophen Extra strength x1 bottle expired 8/21. […]

• No harm, potential for more than minimal, isolatedF641Feb 26, 2026

  Based on record review and staff interview, the facility failed to accurately assess one of 17 sampled residents (R) (R43). The deficient practice had the potential for R43 to be at risk for medical complications, unmet needs, and a diminished quality of life.Findings include:Review of the electronic medical record (EMR) revealed that R43 was admitted to the facility with but not limited to diagnoses of major depressive disorder, anxiety disorder, hypertensive heart disease with heart failure, and adjustment disorder with depressed mood.The annual Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 6/17/2025 revealed in Section E, Behavioral Symptoms, was coded as 0 (Behavior not exhibited).Review of the EMR revealed a behavior note from 06/11/2026: Resident very… […]

• No harm, potential for more than minimal, isolatedF695Dec 22, 2024

  Based on observations, staff and resident interviews, record review, review of the facility policy titled, Oxygen Administration, and review of the manufacturer recommendations titled, How to Change a Filter on a [brand name] Oxygen Concentrator, the facility failed to ensure an oxygen (O2) concentrator filter was in place for one of ten residents (R) (R32) who received O2 therapy. This deficient practice had the potential to place R32 at risk for medical complications, unmet needs, and a diminished quality of life. Findings include: Review of the facility policy titled, Oxygen Administration, copyright 2024, revealed the Policy Explanation and Compliance Guidelines section included . 5. Other infection control measures include: a. […]