Wiley Mission

In the surveyor’s words

From the most serious findings on record at Wiley Mission, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 27, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 09/23/2024 from 07:57 AM to 08:27 AM the surveyor, accompanied by the Dietary Clerk (DC), observed the following in the kitchen: 1. The surveyor observed a dietary worker walking around the kitchen with a full beard and no beard guard. 2. In refrigerator #1 an unopened package of hot dogs with a use- by-date of 09/18/2024. There was also a large metal tray of raw salmon covered with plastic wrap that was not labeled or dated. The DC removed and discarded items. 3. […]

• No harm, potential for more than minimal, patternF584Jul 21, 2023

  Based on observation and interview, the facility failed to promote a home-like dining atmosphere for 1 of 1 facility dining rooms. This deficient practice was evidenced by the following: 1. On 07/13/2023 at 12:21 PM, the surveyor observed the lunch meal in the facility main dining room. The surveyor observed 30 residents present at the lunch meal. All 30 residents received their meal on a tray. 2. On 07/14/2023 at 11:55 AM, the surveyor observed the lunch meal in the facility main dining room. 25 residents were observed in the dining room. 25 residents received their lunch meal served on a tray. 3. On 07/17/2023 at 12:25 PM, the surveyor observed the lunch meal in the main dining room. There were 29 resident's present in the main dining room for the lunch meal. […]

• No harm, potential for more than minimal, patternF695Jul 21, 2023

  Based on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to provide necessary respiratory care consistent with professional standards of practice specifically by leaving a continuous positive airway pressure (CPAP) mask exposed on top of a nightstand when not in use, failing to date nasal cannulas, and failing to appropriately store a nasal cannula when not in use and failed to update the care plan for 4 of 5 residents (Resident #1, Resident #12, Resident #21, Resident #23) investigated for Oxygen. The deficient practice was evidenced by the following: 1.) On 7/13/2023 at 10:09 AM during the initial tour of the facility, Surveyor #1 observed Resident #1 in his/her room. […]

• No harm, potential for more than minimal, patternF812Jul 21, 2023

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 7/13/2023 from 9:00 to 9:42 AM, the surveyor, accompanied by the Food Service Director (FSD) and Assistant Food Service Director (AFSD), observed the following in the kitchen: 1. In the dry storage room on a middle shelf an opened bag of breadcrumbs was stored inside a plastic bin. The bin was labeled Bread Crumbs and had a date of 3/3. The AFSD stated they are good for about a week after opening. We get these regularly, but the date wasn't changed. We date the bag, but this bag isn't dated. […]

• No harm, potential for more than minimal, isolatedF645Feb 9, 2026

  Based on observation, interview, and record review it was determined the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was completed accurately for a newly admitted resident. This deficient practice was identified for 1 of 2 residents reviewed for PASRR (Resident #8), and was evidenced by the following:On 02/04/2026 at 9:57AM, during the initial tour of the facility, Resident #8 was observed out of bed in their room.A review of the admission Record face sheet (an admission summary) revealed that the resident was admitted to the facility with the following but not limited to diagnosis of psychotic disorder.A review of Resident #8's Electronic Medical Record (EMR) revealed a PASRR level 1 dated 10/21/2025. […]