Wilson Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Wilson Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 20, 2023

  Based on observation and staff interviews the facility failed to a) ensure that prepared foods were labeled and dated when stored in the walk-in refrigerator and, b) failed to date leftover foods stored for use. These practices had the potential to affect food served to residents in the facility. Findings included: During the initial tour of the kitchen on 09/17/23 at 12:30 PM the following was observed in the presence of the Kitchen Manager: a. The walk-in refrigerator was observed with the following: a 4-quart plastic container of macaroni salad covered with clear plastic wrap with no date, a metal container covered with clear plastic wrap labeled Pureed Pork for Dinner with no date, and a metal container covered with clear plastic wrap and labeled Pureed Food for Dinner with no date or… […]

• No harm, potential for more than minimal, isolatedF690Jan 13, 2025

  Based on observations, staff interviews, and record review, the facility failed to keep a urinary catheter bag from touching the floor to reduce the risk of infection for 2 of 4 residents (Resident #86 and Resident #13) reviewed with urinary catheters. The findings included: 1. Resident #86 was admitted to the facility on [DATE] with diagnoses that included retention of urine, benign prostatic hyperplasia (a non-cancerous condition that causes the prostate gland to enlarge), and obstructive and reflux uropathy (urinary tract conditions that occur when urine can't flow normally). An admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #86 was moderately cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF641Sep 20, 2023

  Based on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) Assessments for 4 of 30 residents reviewed in the areas of dialysis, wandering, weight, and discharge (Resident #145, Resident #91, Resident #33, and Resident #94). Findings included: 1. Resident #145 was admitted to the facility on [DATE]. Diagnoses included, in part, end stage renal disease (ESRD) with hemodialysis. Review of a physician order dated 09/07/23 revealed an order for dialysis treatments on Tuesday, Thursday, and Saturday for Resident #145. A nursing progress note written on 09/09/23 at 7:38 AM revealed Resident left the facility via wheelchair to go to dialysis. […]

• No harm, potential for more than minimal, isolatedF609Aug 9, 2023

  Based on record review and staff interview the facility failed to report a staff to resident abuse allegation to the state agency, Adult Protective Services, and law enforcement as required for 1 of 1 resident (Resident #1) reviewed for abuse. Findings included: Resident #1 was admitted to the facility on [DATE]. During an interview with Nurse #1 on 8/9/23 at 10:05 AM who stated she was working on 7/23/23 and observed Nurse Aide #1 (NA #1) hit Resident #1. She stated she ensured the resident was safe and NA #1 was off the hall and was not working with any residents. Nurse #1 stated she contacted the Staff Development Nurse at approximately 7:30 PM who stated she would contact the Administrator. Nurse #1 stated she told the Administrator she had witnessed NA #1 strike Resident #1. […]

• No harm, potential for more than minimal, isolatedF692Apr 28, 2022

  Based on staff interviews and record review, the facility failed to address a weight loss issue for one of three residents (Resident #46). Findings included: A review of the medical record indicated Resident #46 was admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Quarterly Minimum Data Set (MDS) dated [DATE] noted Resident #46 was moderately impaired for cognition and needed extensive assistance for all daily care with the help of one person. The MDS noted Resident #46 could feed himself. The section of the MDS about weight loss indicated no or unknown weight loss. There was no care plan for Resident #46 for nutrition. A review of weights in the resident record revealed a weight of 154 lbs. […]