Wilton Retirement Community

In the surveyor’s words

From the most serious findings on record at Wilton Retirement Community, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Jul 20, 2023

  Based on interview, record review, and facility policy review, the facility failed to correctly code medical diagnoses and medications on the MDS (Minimum Date Set) for 4 of 5 residents reviewed for unnecessary medications. (Resident#13, Resident #15, Resident #24, Resident #26). The facility reported a census of 32. Findings include: 1. The MDS assessment dated [DATE] revealed the Resident #13 scored 3 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severely cognitively impaired. The MDS revealed the resident received an antipsychotic 7 out of 7 days and received antipsychotics on a routine basis. The MDS failed to document the resident had a diagnosis of non-Alzheimer's dementia or unspecified dementia with behavioral disturbance. […]

• No harm, potential for more than minimal, isolatedF689Dec 31, 2025

  Based on observation, clinical record review, policy review, and staff interview, the facility failed to secure medications to prevent a potential hazard for 5 of 5 cognitively impaired, independently mobile residents in the facility's Chronic Confusion and Dementing Illness (CCDI) unit. The facility reported a census of 29 residents.Findings:The Minimum Data Set(MDS) assessment tool, dated 11/20/25, listed diagnoses for Resident #26 which included non-Alzheimer's dementia, vascular dementia (caused by alterations in blood flow), moderate, with mood disturbance, and weakness. The MDS listed the resident's Brief Interview for Mental Status(BIMS) score as 9 out of 15, indicating moderately impaired cognition. […]

• No harm, potential for more than minimal, isolatedF812Oct 10, 2024

  Based on observations, training record review, policy review and staff interview the facility failed to complete handwashing and equipment sanitizing in between tasks during the puree process. The facility reported a census of 30 residents. Findings include: During an observation on 10/8/24 starting at 09:29 AM, Staff A, Dietary Aide completed the puree process for three puree diet orders. She started to puree tenderloin with a chicken base for three residents. After Staff A measured the puree, she poured it into the pan and put it to the warmer. Staff A used a dry rag to wipe the counter and her hands. Without washing her hands or using sanitizer on the counter, she then pureed the casserole with a tomato base, measured, and placed it in the warmer. […]

• No harm, potential for more than minimal, isolatedF607Jul 20, 2023

  Based on staff interview and record review the facility failed to ensure one of five staff members had current Dependent Adult Abuse training (Staff A, Registered Nurse (RN). The facility reported a census of 32 residents. Findings include: Review of a DAA certificate for Staff A revealed DAA training had been completed on 3/2/2018. On 7/19/23 at 2:43 PM, the most recent DAA training certificate for Staff A had been requested via email from the facility's Administrator. On 7/20/23 at 2:06 PM, the Administrator acknowledged Staff A's DAA training had been past due. […]

• No harm, potential for more than minimal, isolatedF640Jul 20, 2023

  Based on record review, staff interview and facility policy reviewed indicated the facility failed to submit a Significant Change Minimum Data Set (MDS) assessment timely for 1 of 12 reviewed for MDS submission, (Resident # 24) The facility reported a census of 32 residents. Findings include: Review of the significant change MDS for Resident #24 reviewed an Assessment Reference date of 4/28/23, completed date of 5/12/23 and a submission date of 5/31/23. During an interview on 7/20/23 with the Director of Nursing acknowledged staff who had been doing MDS was on leave since late April and another staff member had been filling. […]