Wurtland Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Mar 9, 2026

  Based on interviews, record review, and review of the facility's documents and policy, the facility failed to ensure the physician was notified of a change in condition when the resident began showing signs of fluid overload. Resident (R) 117 experienced a significant weight gain of 17 pounds in 13 days, from [DATE] to [DATE], while a resident at the facility. The facility's failure to recognize and notify the physician of the resident's condition change beginning on [DATE] resulted in a delay in intervention and treatment for the resident. The resident was admitted to the hospital on [DATE] with diagnoses of fluid overload and myocardial infarction and expired at the hospital on [DATE], approximately eight hours and forty-five minutes after his arrival at the hospital. […]

• Immediate jeopardy, isolatedF656Mar 9, 2026

  Based on observation, interview, record review, and review of the facility's documents and policies, the facility failed to develop and implement a comprehensive care plan to ensure the care plan met each of the resident's medical, nursing, mental and psychosocial needs identified on his/her comprehensive assessment for 1 of 35 residents reviewed for comprehensive care plans, Resident (R) 117.R117 gained 17 pounds in 13 days while a resident at the facility from [DATE] through [DATE], a significant weight gain with exhibited signs of edema. The resident was sent to the hospital on [DATE] and admitted with diagnoses of fluid overload and myocardial infarction (heart attack). […]

• Immediate jeopardy, isolatedF684Mar 9, 2026

  Based on interview, record review, and review of the facility's policies, the facility failed to recognize a change in a resident's condition, to ensure the resident received quality of care based on the facility's identified care and treatment needs for the resident and failed to ensure professional standards of practice for the resident's care were provided that would meet the resident's physical, mental, and psychosocial needs for 1 of 35 sampled residents reviewed for quality of care concerns, Resident (R) 117.R117 gained 17 pounds in 13 days, a significant weight gain with exhibited signs of edema, while a resident at the facility from [DATE] through [DATE]. […]

• Actual harm, isolatedF803Mar 9, 2026

  Based on observation, interview, record review, review of the facility's incident report, and review of the facility's documents and policy, the facility's staff failed to follow a menu for a resident on a puree diet for 1 of 11 sampled residents, Resident (R) 76.Review of the facility's Incident Report, revealed R76 was provided the wrong texture of diet on 01/08/2026, which caused the resident to choke. Actual harm was identified with the highest scope and severity (S/S) of a G.The facility provided an acceptable Removal Plan alleging the removal of the G on 01/28/2026, prior to the State Survey Agency (SSA) initial entrance to the facility on [DATE]. […]

• Actual harm, isolatedF656Feb 11, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to develop and/or implement a comprehensive person-centered care plan to meet the needs of five (Resident (R) 80, R27, R52, R36, and R124) of 32 sampled residents The facility failed to develop specific, effective interventions for staff to follow and /or ensure that approaches were implemented to meet each resident's needs. The findings include: Review of the facility policy, Comprehensive Care Plan, dated 11/01/2024, revealed the facility was to develop and implement a comprehensive person-centered care plan for each resident to meet the resident's medical, nursing, mental, and psychosocial needs as identified in the comprehensive assessment. […]