Wilkinson County Senior Care

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to properly store frozen and dry storage food in accordance with professional standards for food service safety for one (1) of four (4) days of survey. Findings Include: A record review of the facility policy Storage of Frozen Foods with a review date of 11/23 revealed, The facility ensures the quality and safety of frozen food through accepted storage practices. 8. Opened boxes with liners should be closed and sealed tightly with packing tape or twist ties .On 08/25/2025 at 10:48 AM, during an initial tour of the kitchen with the Dietary Manager (DM), multiple concerns were identified in the freezer and dry storage areas. [...]

Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure residents were treated with respect and dignity for three (3) of 27 residents on A Wing. (Resident #1, Resident #2, and Resident #3). Findings Included: A review of the facility's resident document, undated, revealed .As a resident in a long-term care facility, you have many rights guaranteed by law . Your rights include: A dignified and comfortable living environment . Dignity and Respect You have the right to dignity and respect in the care you receive and the setting you live in. Resident #1 A record review of the admission Record revealed the facility admitted Resident #1 on 4/11/25 with diagnoses including Atrial Fibrillation. [...]

Inspectors wroteBased on observation, staff and Resident Representative (RR) interview, record review, and facility policy review, the facility failed to ensure the comprehensive care plan was implemented for Activities of Daily Living (ADL) for one (1) of 16 sampled residents. (Resident #30)

Inspectors wroteBased on observation, interviews, record reviews, and facility policy review, the facility failed to ensure that tray line food temperatures were checked and documented prior to serving each meal for 15 days of 24 days of recorded temperatures reviewed for the month of March 2024.

Inspectors wroteBased on observation, staff and Resident Representative (RR) interviews, record review, and facility policy review, the facility failed to ensure a dependent resident received Activities of Daily Living (ADL) care, as evidenced by long thick toenails for one (1) of 16 sampled residents. (Resident #30)

Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to inform a resident or Resident Representative (RR) of the risks and benefits of the use of bed rails prior to bed rail installation for one (1) of 16 sampled residents. (Resident #14)

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the facility's designated Hospice Coordinator coordinated the care provided by the Hospice service and the facility for one (1) of two (2) Hospice residents reviewed. (Resident #27)

Inspectors wroteBased on staff interviews, record reviews, and facility policy review, the facility failed to accurately complete Minimum Data Set (MDS) assessments for one (1) of 20 MDS assessments reviewed. Resident #23. Findings Include: Review of the facility's policy, MDS Assessment, dated 5/2006, revealed It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare/Medicaid) protocol. Record review of Resident #23's admission Record revealed the facility admitted her on 1/1/21 with diagnoses including Schizophrenia, Major Depressive Disorder, and Bipolar Disorder. [...]

Inspectors wroteBased on observations, interviews, record reviews, and facility policy review the facility failed to develop and implement the care plan related to catheter care, wound care, pain, and behaviors for three (3) of 20 care plans reviewed. Resident #9, Resident #54, and Resident #63.

Inspectors wroteBased on observation, staff interviews, record review, and facility policy review, the facility failed to clean a pressure wound in a manner to prevent the possible spread of infection for one (1) of four (4) pressure wound care observations. Resident #54 Findings Include: Record review of the facility's policy, Clean Dressing Change, undated, revealed It is the policy of the facility to provide wound care in a manner to decrease potential for infection and/or cross contamination .12. Cleanse the wound as ordered, taking care to not contaminate other skin surfaces or other surfaces of the wound (i.e clean outward from the center of the wound) . On 2/9/22 at 10:20 AM, the State Agency (SA) observed wound care to Resident # 54's right heel by Licensed Practical Nurse (LPN) #2 and assisted by Registered Nurse (RN) #3. [...]

Inspectors wroteBased on observation, interviews, record review and facility policy review, the facility failed to anchor catheter tubing during catheter care to minimize movement or prevent possible friction or trauma and failed to ensure a catheter leg strap was in place for one (1) of three (3) catheter care observations. Resident #9. Findings Include: Review of the facility policy, Catheter Care Policy, dated 8/20 revealed It is the policy of this facility to ensure that residents with indwelling catheters receive appropriate catheter care .Compliance Guidelines: . 12. wipe the catheter making sure to hold and secure the catheter in place to not pull on the catheter . Resident #9 Observation on 02/08/22 at 01:22 PM, of catheter care with Certified Nursing Assistant (CNA) # 2 revealed CNA #2 failed to secure the tubing on the catheter while providing catheter care. [...]

Inspectors wroteBased on observation, interviews, record reviews and facility policy review the facility failed to prevent the possible spread of infection for one (1) of three (3) catheter care observations. Resident #59. Findings Include: Record review of the facilities Infection Prevention and Control Program dated 8/2017 revealed, It is a policy of this facility 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 .4. Hand Hygiene Protocol a. All staff shall wash their hands when coming on duty, between resident contacts, after handling contaminated objects, after PPE (Personal Protective Equipment) removal, before and after eating, before and after toileting, and before going off duty. b. [...]