Wilson Pines Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 30, 2026

  Based on record review and interviews with family, staff, Nurse Practitioner (NP), and Contracted Medical Transportation Company, the facility failed to ensure a resident was safely transported by Transport Technician #1 and Transport Technician #2 when Resident #126's stretcher tipped sideways at an uneven section of pavement as the resident was being pushed to the transportation vehicle through a parking lot following an appointment. The transport technicians and a passerby returned the stretcher to an upright and stable position. The resident was secured to the stretcher and did not fall, however she complained of pain when she returned to the facility. […]

• No harm, potential for more than minimal, widespreadF812Feb 16, 2023

  Based on record review, observations and staff interviews, the facility failed to (1) label foods items with an open and expiration date and discard expired food items stored for use in 1 of 1 walk-in refrigerator for 1 of 2 kitchen observations and (2) label food items with an open and expiration date stored for use in 1 of 1 walk-in freezer. These practices had the potential to affect food served to 99 of the 99 residents. Finding included: 1. On [DATE] at 9:48 a.m. in the initial tour of the kitchen accompanied by Dietary Manager (DM), the following items were observed in the walk-in refrigerator: Two containers of frozen solid puree bacon in a box with no date indicating when opened or an expiration date. […]

• No harm, potential for more than minimal, widespreadF867Feb 16, 2023

  Based on record review and staff interview the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor interventions that the committee had previously put in place following the recertification and complaint survey of 8/27/21. The deficiencies are in the areas of Accuracy of Assessments (641), Accidents (689), Label/Store Drugs and Biologicals (761), and Food Procurement (812). The continued failure during two federal surveys of record showed a pattern of the facility's inability to sustain an effective Quality Assurance Program. […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2021

  Based on observations and staff and chemical company technician interviews, the facility failed to maintain sanitary conditions in the kitchen by: 1. failing to ensure the dishwasher was rinsing dishes at the correct temperature to sanitize the dishes; 2. by failing to discard expired food and to date opened resealable food items stored in the walk-in refrigerator; 3. by not properly storing and dating open dry food items; and by failing to store food items off the floor. These practices had the potential to affect all residents. Findings included: 1. Observation of the single conveyer dual temperature dishwasher on [DATE] at 10:34 AM revealed an initial wash temperature of 150 degrees Fahrenheit (F) and a final rinse temperature of 138 degrees F. […]

• No harm, potential for more than minimal, patternF812Mar 6, 2024

  Based on observations and staff interviews the facility failed to dry dishes individually by nesting (stacking dishes/utensils of the same size without an air gap) 4 deep dish pans and 2 large metal mixing bowls, while still wet, on the drying rack for 1 of 3 kitchen observations. Findings included: During observation on 3/3/24 at 10:24 AM 4 deep dish pans and 2 large metal mixing bowls were observed nested on the drying rack. Upon requesting Dietary Cook #1 to remove the top dish, water was visible on the surfaces of the dishes nested together. During an interview on 3/3/24 at 10:24 AM Dietary Cook #1 stated the 4 deep dish pans, and 2 large metal mixing bowls were left over from last night to dry on the drying rack. She did not know why they had been nested in each other. […]