Wellsburg Healthcare Center

Inspectors wroteBased on observation resident interviews, staff interviews and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections with regards to the resident's personal products and unsanitary practices. Resident identifiers: #7, #31, #18, and #52. Facility Census: 52. Findings Included:a) Resident #7:During a facility walkthrough and resident interviews on 06/08/26 at 12:59 PM, it was observed that Resident #7's wheelchair had rips and tears on the edge of the seat and a round hole on each corner of the back rest by the handles exposing the inner padding. [...]

Inspectors wroteBased on observations, and staff interviews, the facility failed to ensure resident's call lights were within reach. This failed practice had the potential to affect a limited number of residents. Resident Identifier: #15 Facility Census: 52.

Inspectors wroteBased on observation and staff interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for residents in room [ROOM NUMBER]. This was a random opportunity for discovery. Resident #33, #42. Facility census: 52.

Inspectors wroteBased on observation, Resident interviews, and staff interviews, the facility failed to ensure the resident environment remains as free of accident hazards as is possible in regard to an unlocked med cart in 100 hall, also a loose countertop and sink. this failed practice was a random opportunity for discovery that could effect a limited number of residents. Resident Identifier #16. Facility Census: 52. Findings Included: a) 100 hall med cart observation: On 06/09/26 at 9:15 AM the med cart was observed outside room [ROOM NUMBER] in the 100 hall unlocked and unattended while RN #56 was administering medications in another resident's room. An interview was conducted with RN #56 on 06/09/26 at 9:18 AM. She confirmed she had not locked the med cart before leaving it to administer meds in a resident's room on the 100 hall and apologized. [...]

Inspectors wroteBased upon observation, record review and staff interview, the facility failed to maintain accurate medical records for Resident #6 wearing Ulnar Gutter Splint on the right hand every day. Resident identifier: #6. Facility census: 52.

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a written Notice of Transfer / Discharge which included the resident's right to submit an appeal and the name, address (mailing and email), and telephone number of the Office of the State Long-Term Care Ombudsman, was provided to residents/resident representatives for five (5) of five (5) residents reviewed for hospitalizations during the long-term care survey process. This had the potential to affect all residents being transferred or discharged . Resident identifiers: #20, #52, #12, #21 and #33. Facility census:

Inspectors wroteBased on observation and interview, the facility failed to provide a clean, comfortable, and homelike environment over which it had control, Specifically by not ensuring that a P-Tac unit was cleaned and maintained. This was true for one (1) of thirty-two (32) rooms surveyed during the long-term care survey process. This was a random opportunity for discovery. Room Identifier: room [ROOM NUMBER]. Facility Census: 52. Findings Included: a) room [ROOM NUMBER] During an observation of room [ROOM NUMBER] on 01/21/25 at approximately 1:45 PM, lint and debris were observed inside the vent grille of the P-Tac unit. A repeat inspection of the P-Tac unit on 01/22/25 at 1:35 PM revealed that it had still not been cleaned. On 01/23/25 at approximately 10:00 AM, the Director of Nursing (DON) #13 and Corporate Nurse (CN) # 71 were notified of the dirty P-Tac unit. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to maintain an accurate medical record for two (2) out of 21 records reviewed during the Long-Term Care Survey Process. Resident identifiers: #46 and #29. Facility census:

Inspectors wroteBased on record review, facility concern/grievance review, staff interviews and individual interviews, the facility failed to ensure prompt efforts were made to resolve grievances for three (3) of five (5) residents reviewed. Resident identifiers: Resident #3, #21 and #150. Census: 52.

Inspectors wroteBased on observation, facility record review and staff interview, the facility failed to provide a meaningful activity prior to lunch in the dining room. This is true one of one reviewed for activities but has the potential to affect all 16 residents eating in the dining room. Resident identifiers: 20, 5, 10, 41, 38, 31, 23, 34, 201, 13, 7, 1, 6, 12, 4, 2. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to maintain an accurate medical record for four (4) of 18 sampled residents reviewed in the Long-Term Care Survey process. Resident identifiers: #3, #4, #11, and #6. Facility census: 52.

Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to maintain an effective infection control program. Residents were not given the opportunity to sanitize/wash their hands prior to dining. Isolation rooms were not identified with correct/accurate signage and staff failed to follow hand hygiene practices consistent with accepted standards of practice. This practice has the potential to affect more than a limited number of residents residing in the facility. Resident identifiers: 20, 5, 10, 41, 38, 31, 23, 34, 201, 13, 7, 1, 6, 12, 4, 2, 22, 21. Facility census: 52.

Inspectors wroteBased on observation and staff interview, the facility failed to honor privacy of resident medical records by leaving a narcotic book open and on top of an unattended medication cart. This was a random opportunity for discovery. Resident identifiers: #9 and #21. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident fall resulting in serious bodily injury was reported in a timely manner to the appropriate state agencies. The failure to make a timely report was true for one (1) of two (2) sampled residents for falls. Resident identifier: #44. Facility census: 52.

Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to develop and implement comprehensive person-centered care plans for residents with dementia. This is true for two of two residents reviewed for dementia. Resident identifiers: 1 and 15. Facility census: 52.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure drugs and biologicals, used in the facility, were stored in accordance with current accepted professional practices. The facility failed to ensure medications were not being stored for use after the Manufacturer's discard date for use. This was true for medications stored in one (1) of two (2) medication carts inspected. This practice had the potential to affect a limited number of residents. Resident identifier: Resident #35. Facility census: 52.

Inspectors wroteBased on review of the concern/grievance log, record review and staff interview, the facility failed to ensure a dental referral was made in a timely manner for a resident who had lost or damaged dentures. This deficient practice was identified through a random opportunity for discovery and had the potential to affect a limited number of residents. Resident identifier: Resident #34 Census: 52.

Inspectors wroteBased on observation and staff interview, the facility failed to provide food services in accordance with professional standards. The facility failed to ensure food was labeled and dated. This practice had the potential to affect a limited number of residents. Facility census: 52.

Inspectors wroteBased on observation and staff interview, the facility failed to maintain current food handler cards for two (2) of seven (7) employees reviewed in the Dietary Department. This practice had the potential to affect a limited number of residents who receive their nutrients from the kitchen. Facility Census 52.