Wilson Rehabilitation and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF552May 20, 2026

  Based on record reviews, and staff, Medical Director, Psychiatric Nurse Practitioner, Pharmacy Consultant, and Guardian interviews, the facility failed to obtain consent and inform the resident or resident representative in advance of the risks and benefits of psychotropic medications or treatment alternatives for 4 of 4 residents reviewed for unnecessary medications (Resident #1, Resident #2, Resident #62, and Resident #46). The findings included: a. Resident #1 was admitted to the facility on [DATE] with diagnoses which included Parkinson's disease, dementia with behavioral disturbance, anxiety and depression. […]

• No harm, potential for more than minimal, patternF563Jul 1, 2021

  Based on observations, family interview, resident interview and staff interviews, the facility imposed a restricted visitation schedule that limited indoor visitations of family and friends for 1 of 1 resident sampled for visitation. (Resident # 19). This facility practice had the potential to affect all residents. Findings included: Resident #19 was admitted to the facility on [DATE], and his diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] On 6/28/2021 at 12:51 p.m. in an interview with family member #1 for Resident #19, he stated visitations were limited to Monday through Friday from 10:00a.m. to 6:00p.m., and there were no visitations on the weekend. He stated he lived out of town, and the reason he was able to visit Resident #19 that day was because he happen to be off work. […]

• No harm, potential for more than minimal, isolatedF641May 20, 2026

  Based on record review and staff interviews, the facility failed to accurately code the physician's documented clinical contraindication of a gradual dose reduction (GDR) of psychotropic medications for 2 of 25 residents reviewed for MDS assessment accuracy (Resident #1 and Resident #62).The findings included:a. Resident #1 was admitted to the facility on [DATE] with diagnoses which included Parkinson's disease, dementia with behavioral disturbance, anxiety and depression.A physician's order dated 4/30/25 revealed an active order for quetiapine fumarate (antipsychotic medication) 12.5 milligrams (mg) to be administered at bedtime related to depression and Parkinson's disease. […]

• No harm, potential for more than minimal, isolatedF695May 20, 2026

  Based on observations and staff interviews, the facility failed to place cautionary no smoking signage on the primary entrance to the facility indicating it was a non-smoking facility for 1 of 1 primary entrance to the facility.Findings included:The facility's policy No Smoking Policy dated 12/31/22 and last revised 1/1/26 stated, Smoking or vaping by employees, contractors, visitors, or residents is strictly prohibited within the facility, in any company owned vehicle and on the grounds of the facility. […]

• No harm, potential for more than minimal, isolatedF761Feb 2, 2023

  Based on record review, observations and staff interviews, the facility failed to discard an expired Novolog insulin flex pen from 1 of 4 medication carts observed. (300-hall medication cart) Findings included: A review of the Resident #33's Medication Administration Records (MAR) for [DATE] and [DATE] revealed she received Novolog Insulin flex pen for sliding scale coverage of blood sugars readings. She received one dose of Novolog Insulin on [DATE] and received twenty-two doses of Novolog Insulin in January: [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE] and [DATE]. An observation of the 300-hall medication cart was conducted on [DATE] at 11:23 a.m. […]