Wrightsville Manor Health and Rehab

In the surveyor’s words

From the most serious findings on record at Wrightsville Manor Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 14, 2025

  Based on staff interviews, record reviews, and a review of the facility's policy titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program, the facility failed to protect Resident (R1)'s right to be free from sexual abuse by Resident (R2). The facility census was 75. On 2/4/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and the Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on 2/4/2025 at 4:13 pm. The noncompliance related to the IJ was identified to have existed on 11/29/2024. An Acceptable IJ Removal Plan was received on 2/8/2025. […]

• Immediate jeopardy, isolatedF835Feb 14, 2025

  Based on staff interviews, record reviews, and a review of the facility's policy titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program, the facility Administration failed to protect one resident (R) (R1) was free from sexual abuse by R2, and the facility failed to complete a thorough investigation following an allegation of resident-to-resident sexual abuse involving two Residents (R) (R1 and R2). This failure resulted in R1 being transferred to the emergency room for evaluation of sexual assault. On 2/4/2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. […]

• No harm, potential for more than minimal, widespreadF812Oct 8, 2023

  Based on observations, staff interviews, and a review of the facility policies titled, Food Storage, General HACCP Guidelines for Food Safety, and Cleaning Dishes - Manual Dishwashing the facility failed to label and date opened food items in the reach-in refrigerator, dry storage area, and walk-in freezer. In addition, the facility failed to properly thaw food items to prevent food borne illness and failed to demonstrate the correct usage of the three compartment sink to prevent cross contamination. The facility census was 83 with 76 residents consuming an oral diet. Findings include: 1. […]

• No harm, potential for more than minimal, patternF880Jul 31, 2025

  Based on observation, interview, and record review, the facility failed to administer medications in a manner to prevent cross-contamination for seven of 13 residents (R) (R62, R65, R56, R30, R33, R22, and R45) observed receiving medications. This deficient practice had the potential to place R62, R65, R56, R30, R33, R22, and R45 at risk of avoidable infections. Findings include:1. During continuous observations of the medication pass on 7/29/2025 and beginning at 1:10 pm, the following was observed:1. 1:10 pm: Licensed Practical Nurse (LPN) 2 was observed preparing a medication for R62. LPN2 opened the medication cart, obtained a medication card, popped a pill into a medication cup, placed the medication card back into the cart, and then locked the cart. […]

• No harm, potential for more than minimal, patternF880Oct 8, 2023

  Based on observations, staff interviews, and a review of facility's policy titled, Infection Prevention and Control Policy, and Glucometer Policy, the facility failed to practice acceptable infection control practices to prevent possible cross-contamination by not ensuring resident bath basins and urinals were labeled and covered for 10 of 44 rooms. In addition, the facility failed to ensure a glucometer (a device used to measure blood sugar levels) was disinfected after each use and prior to use on other residents for two of three residents (R) (R18 and R3) and failed to provide a clean barrier between clean and contaminated surfaces. This failure had the potential to expose patients to infections due to cross-contamination. Findings include: 1. […]