Wisner Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 8, 2026

  Licensure Reference Number 175 NAC 12-006. 11(E) Based on observation, record review, and interview; the facility failed to ensure the facility dishwasher was reaching temperatures to ensure adequate sanitation of dishes to prevent the potential for food borne illness. This had the potential to affect all facility residents. The facility census was 33. Findings are: Review of the undated facility policy General Sanitation of the Kitchen revealed the staff maintained the sanitation of the kitchen through compliance with a written comprehensive cleaning schedule. Cleaning and sanitation tasks for the kitchen were recorded. […]

• No harm, potential for more than minimal, widespreadF880Feb 13, 2024

  Licensure Reference Number 175 NAC 12-006.17D Based on observation, record review, and interview, the facility failed to: 1) complete hand hygiene and change gloves to prevent possible cross contamination during the provision of incontinence cares for Resident 14; 2) ensure Transmission Based Precautions (TBP-additional control measures used to prevent the transmission of colonized infectious agents) were implemented for Resident 23; and 3) implement measures to prevent the growth of Legionella (severe type of pneumonia/lung infection caused by bacteria which can be found in water) and/or waterborne pathogens in the facility. The facility census was 25. Findings are: A. […]

• No harm, potential for more than minimal, patternF565Jan 4, 2023

  Licensure Reference Number: 175 NAC 12-006.06 Based on interviews and record reviews; the facility failed to address and to resolve Resident Council concerns regarding call light response times and grievances by Resident 23 regarding the provision of baths. The total sample size was 18 and the census was 30. Findings are: A. Review of the facility policy Grievances/Complaints with a revision date of 10/27/19 revealed it was the policy of the facility to investigate all grievances and complaints reported to the facility and to come to a resolution with all involved parties. […]

• No harm, potential for more than minimal, isolatedF552Jul 8, 2026

  Licensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview; the facility failed to have informed consent and/or comprehensive informed consent for the use of psychotropic medications (any medications that affect behavior, mood, thoughts, or perception) in advance of administration that included the current dose and/or alternate treatment plan options for Residents 2, 14, 15, 31, and 32. The sample size was 5 and the facility census was 33. Findings are: A. Review of the facility policy Use of Psychotropic Medication(s) with a reviewed date of 8/25/25 revealed it was the policy of the facility to ensure residents only received psychotropic medications when other nonpharmacological interventions were clinically contraindicated. […]

• No harm, potential for more than minimal, isolatedF609Jul 8, 2026

  Licensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview; the facility failed to report a hot liquid spill with injury as potential abuse/neglect for Resident 32. The sample size was 1 and the facility census was 33.Findings are:A.Review of the facility policy Abuse, Neglect, or Misappropriation of Property with a review date of 1/2026 revealed the facility supported a zero-tolerance policy for any type of crime committed against a resident, resident abuse, willful resident neglect, misappropriation of resident property, or exploitation. In addition, the policy contained the following: -An injury would be classified as an injury of unknown source when both of the following conditions were met: a. […]