Wildwood Healthcare Center

Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision during nightly smoking activities. This had a potential to effect 74 of 74 residents that participate in the smoke activity. (Residents' M, N, R, T, NN, PP, C, DD, EE and L )

Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from physical abuse by a resident-to-resident altercation for 1 of 6 residents reviewed for abuse. (Residents' L and K)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 3 of 3 observations. Staff hair was not covered while in the kitchen, food preparation, and serving areas. (Dietary Manager, [NAME] 2, Dietary Aide 3)

Inspectors wroteBased on observation and interview, the facility failed to ensure private information was kept confidential for 29 of 127 residents that reside in the facility for 3 of 5 days of the survey. (Resident 1, Resident 4, Resident 5, Resident 7, Resident 10, Resident 11, Resident 15, Resident 20, Resident 22, Resident 26, Resident 25, Resident 35, Resident 43, Resident 44, Resident 46, Resident 53, Resident 64, Resident 82, Resident 83, Resident 84, Resident 93, Resident 103, Resident 106, Resident 107, Resident 108, Resident 110, Resident 141, Resident 142, Resident 143)

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was administered medications per their policy for 1 of 3 residents reviewed for medication compliance. (Resident B)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was free from verbal abuse by staff for 1 of 3 residents reviewed for abuse. (Resident D)

Inspectors wroteBased on interview and record review, the facility failed to ensure notification and documentation was provided to Resident 23 regarding a room change for 1 of 1 resident reviewed for room change.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accurate care planning of Resident 56's bathing preferences, failed to assist a resident with shaving (Resident 120), and failed to provide nail care (Resident 39) for 3 of 5 residents reviewed for activities of daily living (ADLs).

Inspectors wroteBased on interview and record review, the facility failed to hold a resident's insulin, as ordered, and ensure a resident had an off-loading cushion in her wheelchair, as care planned, for 1 of 1 resident reviewed for insulin and 1 of 1 resident reviewed for skin integrity. (Residents 11 and 14)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's palm guard was applied, as ordered, and initiate a range of motion (ROM) program for 1 of 3 residents reviewed for positioning and mobility and 1 of 1 resident reviewed for rehabilitation and restorative services. (Residents 99 and 109)

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident had a care plan to address her individualized needs related to substance use disorder for 1 of 2 residents reviewed for hospitalization. (Resident 93)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 of 2 medical storage rooms were free of expired supplies.

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement interventions to eliminate and/or reduce a resident's risk of being burned by a therapy modality by not ensuring the maintenance/inspection of a hydrocollater (a temperature controlled water bath for placing heating pads) was up to date, not maintaining a current temperature log for the hydrocollater, not testing the temperature of the hydrocollator prior to use on a resident, and not following the policy and/or procedure for use of a hydrocollator and heat pads resulting in a resident receiving a blistering burn on his hand for 1 of 3 residents reviewed for wounds. (Resident H)

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's wound dressing was completed twice a day per physician's order for 1 of 3 residents reviewed for wounds. (Resident T)

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the dignity of residents in the facility for 4 of 7 residents reviewed for dignity. (Residents 20, 37, 54, and 64)

Inspectors wroteBased on interview and record review, the facility failed to develop and implement a plan of care for a resident with intermittent explosive disorder after a physical altercation with another resident; update a plan of care with new interventions for a resident with intermittent explosive disorder after an incident of verbal aggression against another resident; develop and implement a plan of care, upon admission, for a resident with known active substance use disorder; update and revise a resident's plan of care with individualized new interventions to address his behaviors; and provided a resident his leave of absence medication, including narcotics, in advance, instead of upon leaving the facility, for a resident with a history of physically aggressive behavior related to his narcotic medication for 1 of 4 residents reviewed for abuse and 4 of 5 residents reviewed for behaviors. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications stored in the medication carts and medication rooms were labeled with the residents' names, dated with open dates, not expired, and discharged residents' medications removed for 4 of 8 medications carts and 2 of 4 medication rooms observed. (Residents 1, 11, 15, 24, 46, 56, 92, 123, 143, and 351)

Inspectors wroteBased on observation and interview, the facility failed to ensure a safe, functional, sanitary, and comfortable environment for residents by: room curtains not properly hung or torn from hooks, holes in a residents' room wall, a fly strip hanging in a residents room, cracked and discolored ceilings, buckled ceilings in hallway, room thresholds taped down, baseboard not affixed to wall, missing dresser drawer and dried food on walls for residents who reside on the 100, 200, 300, and 700 hallways.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a resident's dignity regarding possession of medications provided to him by nursing for 1 of 4 residents reviewed for abuse. (Resident 39)

Inspectors wroteBased on interviews and record review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 4 residents reviewed for abuse (Residents 119).

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's facility-initiated discharge information was conveyed to the resident/resident representative and the discharge summary contained a complete recapitualization of the resident's stay, a final summary of the resident's status, the efforts to assist the resident in locating a continuing care provider, and the reconciliation of medications for 1 of 3 residents reviewed for discharge. (Resident 348)

Inspectors wroteBased on interview and record review, the facility failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State Long-Term Care (LTC) Ombudsman at the same time the notice was provided to the resident and/or resident representative for 1 of 3 residents reviewed for discharge. (Resident 348)

Inspectors wroteBased on interview and record review, the facility failed to accurately complete a Preadmission Screening and Resident Review (PASRR) level I for 2 of 2 residents PASRR reviewed. (Resident 64 and Resident 82)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident had care plans to address her dementia, edema, and hypertension for 1 of 33 residents reviewed for care plan creation. (Resident 41)

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's care plan was reviewed and revised quarterly and/or with significant changes in care by the interdisciplinary team and to the extent practicable, the participation of the resident and/or resident's representative for 1 of 1 resident reviewed for care planning (Resident 14).

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an orthotic (splint) hand device was provided for 1 of 1 residents reviewed for range of motion. (Resident 47)

Inspectors wroteBased on observation, interview, and record review, the facility failed to honor food choices of a resident for 1 of 1 resident reviewed for choices (Resident 89).

Inspectors wroteBased on observation, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and prevent the transmission of communicable diseases and infections by not disposing of a lancet properly, wearing gloves when administering insulin, using only one alcohol pad to cleanse two different locations for subcutaneous injections, and not performing hand hygiene after removal of gloves for 1 of 2 residents observed during medication administration (Resident 59) and 1 of 2 residents reviewed for transmission-based precautions (Resident 2).

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents extinguished cigarettes in proper receptacles. This had a potential to affect 64 of 64 residents that smoke.