Wishek Living Center

In the surveyor’s words

From the most serious findings on record at Wishek Living Center, in the surveyor’s own words.

• Actual harm, isolatedF684May 2, 2024

  Based on record review and review of the facility reported incident investigation, the facility failed to ensure food served accommodated resident allergies for 1 of 1 resident (Resident #1) who was hospitalized for an allergic reaction. Failure to ensure resident allergies are noted and followed while serving meals resulted in hospitalization and treatment for an anaphylactic reaction. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: This surveyor determined a deficient practice existed on 04/19/24. The facility implemented corrective action and completed all staff education on 04/22/24. […]

• Actual harm, isolatedF684Mar 13, 2024

  Based on record review, review of professional reference, review of facility policy, and staff interview the facility failed to provide care and services for 1 of 1 closed record (Resident #43) reviewed with a change in health status and transfer to the emergency room (ER). Failure to assess and monitor the resident's changing condition resulted in a worsening of symptoms and delay in emergency care. Findings include: Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice, 11th Edition eText, 2021, Pearson, Boston, Massachusetts, page 189, stated, . the nurse is still responsible for identifying and responding to data that indicate real or potential medical problems. and preventing development of the potential complication. […]

• Actual harm, isolatedF689Aug 11, 2021

  Based on review of resident's record, the facility's investigation into the incident, and facility policy, and staff interview, the facility failed to provide appropriate and sufficient supervision to prevent accidents for 1 of 1 resident (Resident #4) discharged from the facility who fell during a full body mechanical lift transfer. Failure to safely utilize a mechanical lift resulted in Resident #4 falling from the lift and sustaining a serious injury and placed all residents requiring this type of transfer at risk for falls and/or injury. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: - Review of Resident #4's medical record occurred on 08/11/21. […]

• No harm, potential for more than minimal, widespreadF801Jun 24, 2026

  Based on staff interview, the facility failed to ensure 1 of 1 dietary manager (#3) obtained the proper qualifications to serve as the director of food and nutrition services. Findings include:During an interview on 06/23/26 at 2:31 p.m., a dietary manager (#3) stated she had not completed the certified dietary manager course. During an interview on 06/23/26 at 4:46 p.m., an administrative staff member (#5) confirmed the facility hired the dietary manager on 12/01/25 and did not enroll in the certified dietary manager courses until 06/02/26.The facility failed to ensure the dietary manager (#3) completed the required education for a certified dietary manager, certified food service manager, or a national certification for food service management and safety from a national certifying body.

• No harm, potential for more than minimal, widespreadF812Jun 24, 2026

  Based on observation, review of facility policy, review of professional reference, and staff interview, the facility failed to ensure proper storage, labeling, and service of food items in 1 of 1 kitchen. Failure to label food taken out of the original container, discard expired food, handle food safely and maintain a clean environment may result in foodborne illness to residents, staff, and visitors. Findings included:Review of the facility policy titled Food Handling/Restriction of removal from Dining Room occurred on 06/24/26. This policy, dated February 2014, stated, . at all times . while being . served or transported, . food shall be protected from potential contamination, including dust . The 2022 Food and Drug Administration (FDA) Food Code, Annex 3, Chapters three and six, . […]