The Wheatlands Health Care Center

Inspectors wroteThe facility reported a census of 45 residents and identified one centralized medication storage room, four medication carts, and one nurse treatment cart. Based on observations and interviews, the facility failed to provide a safe environment for seven residents, identified as cognitively impaired and independently mobile by the failure to ensure the medication storage room door remained closed and secured when not in use. This deficient practice had the potential to lead to accidental ingestion of prescription and non-prescription medications that could be harmful to the residents.

Inspectors wroteThe facility reported a census of 45 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner to prevent possible food-borne illness to the residents of the facility.

Inspectors wroteThe facility reported a census of 45 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed transport clean and distribute clean laundry to the residents of the facility when staff failed to perform hand hygiene between resident room contacts. The facility further failed to maintain an effective infection control program related to enhanced barrier precautions (EBP - a set of infection control measures that use gowns and gloves to reduce the spread of multidrug-resistant organisms [MDROs] in nursing homes) when providing catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) care for Resident (R) 1, wound care on R9, and peri-care (cleaning of the area between the genitals and anus) for R198. [...]

Inspectors wroteThe facility reported a census of 45 residents with 12 residents sampled. Based on interview, observation, and record review, the facility failed to protect the privacy and dignity of Resident (R) 24, who stood in her room partially dressed in pants and an undergarment, when a staff member walked by R24's room, looked into R24's room and continued to walk down the hallway without intervening. This practice had the potential to lead to negative psychosocial effects related to dignity.

Inspectors wroteThe facility identified a census of 45 residents, with 12 residents sampled, and one resident reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observations, interviews, and record review, the facility failed to provide a pressure reducing device on the bed to prevent a pressure injury for Resident (R) 9. Additionally, the facility utilized the incorrect size full body sling when transferring R9 in and out of bed with the mechanical lift.

Inspectors wroteThe facility reported a census of 45 residents with 12 residents in the sample and ## residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide an environment that remained free from accident hazards for five residents. The facility failed to use the appropriate size full body lift sling for transfers with a mechanical lift for Resident (R)9. The facility failed to follow R26's care plan and left R26 unattended in the bathroom and connected to a mechanical lift, which resulted in a non-injury fall. Additionally, R1 who had lower extremity weakness, the facility failed to apply foot pedals to wheelchair, which resulted in a non-injury fall. These deficient practices could potentially result in an injury.

Inspectors wroteThe facility reported a census of 50 residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of kitchen garbage and refuse properly.

Inspectors wroteThe facility reported a census of 50 residents that resided on 3 halls. Based on observation, interview and record review, the facility failed to ensure a clean, sanitary environment by the failure of housekeeping staff to know the manufacturer's contact wet times of the cleaners used to clean the resident rooms. This failure had the potential to affect all the resident areas. Findings Included: - On 01/19/23 at 09:15 AM, observation revealed housekeeping staff U as she cleaned rooms on the 100 hall. She completed a room clean, and stood at her housekeeping cart. Interview on 01/19/23 at 09:15 AM, Housekeeping staff U reported she used a disinfectant called AF-79 (a multi-purpose germicidal detergent that disinfects, cleans and deodorizes) to clean the bathroom surfaces. [...]

Inspectors wroteThe facility reported a census of 41 residents, with one main kitchen. Based on observation and interview the facility failed to store foods in a safe and sanitary manner by the failure of staff to date open items, date and reseal opened food items, and failure to discard expired food items.

Inspectors wroteThe facility reported a census of 41 residents with 12 sampled including one for respiratory care. Based on observation, interview, and record review the facility failed to provide respiratory care consistent with professional standards of practice for Resident (R) 24 by not changing and dating a humidifier bottle and tubing for oxygen therapy. Findings Included: - Review of Resident (R) 24's Electronic Health Record (EHR) documented the diagnoses of chronic bronchitis (an inflammation and irritation of the bronchial tubes). Review of R 24's Significant Correction Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental status (BIMS) of 8, indicating moderately impaired cognition. R24 used oxygen. [...]

Inspectors wroteThe facility census totaled 41 residents with five residents reviewed for unnecessary medications. Based on interview, and record review the facility failed to ensure one of five residents did not receive unnecessary medications due to the failure of not providing sliding scale insulin as per blood glucose parameters for Resident (R)12.