Wilson Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF867Aug 21, 2026

  Based on record reviews and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify, track, analyze, and implement effective performance improvement plans to address a pervasive, year-long rodent infestation that directly impacted environmental quality, sanitation, and resident well-being. Specifically, despite documented pest sightings that surged to fifty-two in a single month and required repeated facility-wide extermination clean-outs over a twelve-month period, the QAPI committee failed to recognize the ongoing pest infestation as a critical systemic failure that required formal committee review, tracking, and root-cause analysis until the issue was brought to their attention by the survey team.Findings include:On 8/20/26 at… […]

• No harm, potential for more than minimal, widespreadF925Aug 21, 2026

  Based on observations, record reviews, residents and staff interviews, the facility failed to maintain an effective pest control program to ensure the facility remained free of pests and rodents. This was evidenced by a widespread, and continuous mouse infestation throughout the four-floor facility spanning from August 2025 through August 2026, which peaked at fifty-two documented sightings in a single month. The facility failed to enforce consistent logging and reporting mechanisms, failed to ensure effective environmental and structural vector controls were executed, failed to train frontline nursing and direct care staff on reporting protocols, and allowed severe pest activity to persist in resident living areas, common dining areas, and food service spaces, which directly impacted… […]

• No harm, potential for more than minimal, patternF842Apr 10, 2025

  Based on medical record review and interviews with facility staff, it was determined the facility failed to ensure that: 1) staff accurately documented if a resident exhibited side effects while receiving anti anxiety medications; 2) staff accurately documented a resident's Treatment Administration Record; 3) staff accurately documented side effects of antipsychotic and anticoagulant medications; 4) antipsychotic medication monitoring on the treatment administration record (TAR) was documented to reflect resident status; 5) resident medical records accurately reflect a resident's status; and 6) resident's medical records were complete and accurately reflects the residents advance directive status. […]

• No harm, potential for more than minimal, isolatedF578May 1, 2026

  Based on record review, staff interview, and facility policy review, it was determined that the facility failed to ensure that a resident's right to formulate an advance directive and to have a properly identified and authorized representative make healthcare decisions was maintained for 1 (Resident #15) of 4 residents reviewed for advanced directives during the annual survey. Findings include: On 04/28/2026 at 9:32 AM, an initial review of Resident #15's medical record revealed the resident had two incapacity certifications dated 6/28/24 and 7/10/24. There were 2 individuals noted to be making decisions for the resident, one was a niece of the resident, and the other was a friend who had Financial Power of Attorney. […]

• No harm, potential for more than minimal, isolatedF583May 1, 2026

  Based on record review, facility investigative materials, and staff interview, the facility failed to ensure the confidentiality and protection of a resident's medical record from unauthorized disclosure. This deficient practice was identified for 1 of 2 residents (Resident #138) reviewed as part of facility-reported incident investigations during the recertification/complaint survey.The facility implemented corrective actions prior to the start of the survey. Surveyor verification of the facility's corrective measures determined that the deficient practice had been corrected. Therefore, this deficiency is cited as past noncompliance with a compliance date of 07/03/2025. The findings include:HIPAA stands for the Health Insurance Portability and Accountability Act of 1996, a U.S. […]