Wylie Oaks Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Wylie Oaks Healthcare and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF697May 19, 2024

  49427 Based on observations, interviews, and record review, the facility failed to ensure that pain management was provided for 2 (Resident#4 and Resident #36) of 8 residents reviewed for pain. 1. The facility failed to provide effective pain management for Resident #36 after she experienced a fall on 05/09/2024 she was observed by staff resulting in signs of pain such as grimancing and screaming with movement. 2. The facility failed to provide effective pain management for Resident #4 when his pain medication was reduced without his knowledge resulting in him experiencing unnecessary pain and suffering and psychosocial harm. On 05/16/2024 at 4:51 PM an immediate jeopardy was identified. […]

• Immediate jeopardy, isolatedF684Apr 2, 2025

  Based on interviews, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (Resident #1) of 4 residents reviewed for quality of care. On [DATE] RN A failed to monitor Resident #1 but documented doing vitals during a timeframe which she had become deceased . On [DATE] RN A insisted to Police Officer C Resident #1 was alive when he checked on her at 6:30 AM. RN A documented the vitals for Resident #1 at 7:04 AM. CMA (Certified Medication Aide) B found Resident #1 unresponsive at 7:00 AM during a routine morning medication pass. […]

• Immediate jeopardy, isolatedF686May 22, 2023

  Based on observation, interview, and record review, the facility failed to provide care and services consistent with professional standards of practice to promote the prevention of pressure ulcer/injury development; promote the healing of existing pressure ulcers/injuries (including prevention of infection to the extent possible); and prevent development of additional pressure ulcer/injury for one (Resident #1) of four residents reviewed for wounds. 1. The facility failed to perform weekly skin assessments for Resident #1. […]

• Actual harm, isolatedF684Mar 4, 2021

  Based on observation, interview and record review, the facility failed to provide treatment and care in accordance with professional standards of practice for one (Residents #1) of five residents reviewed for quality of care. The facility failed to provide necessary care and services to Resident #1 following a change in condition. Resident #1 was identified on 02/05/21 with facial drooping, possible paralysis of the right side, swelling of her right extremity and on 02/08/21 with difficulty speaking. The facility notified the physician of the swelling but did not seek any additional treatment for [REDACTED]. […]

• No harm, potential for more than minimal, patternF583Aug 13, 2026

  Based on observation, interview and record review the facility failed to ensure the resident had the right to personal privacy and confidentiality of his or her personal and medical records and failed to ensure each resident had the right to personal privacy which included accommodations, medical treatment, written and telephone communications, personal care, visits and meetings of family and resident groups for three of twelve residents (Residents #26, #58, and #73) reviewed for privacy and confidentiality. 1.The facility failed to ensure RN B pulled the privacy curtain while checking Resident #26's blood sugar on 08/12/2026. 2.The facility failed to ensure RN B pulled the privacy curtain while checking Resident #58's blood sugar and administering her insulin on 08/12/2026. […]