Wilson Assisted Living

The facility failed to ensure food items being stored and served to residents were properly sealed, labeled, and dated. Observations in the refrigerator and freezer revealed multiple items, such as ham, cheese, and sausage, were in open plastic bags without identification or dates.

The facility failed to ensure therapeutic diets were served as ordered for two sampled residents. Specifically, a resident on a mechanical soft diet was served food, such as steak fries and chicken breast, that had not been properly chopped or ground according to the physician's order.

The facility failed to ensure that food items stored in the refrigerator and freezer were properly sealed, labeled, and dated. Specifically, multiple items including ham, cheese, sausage, and steak patties were found in open, unlabeled bags. The Dining Service Manager was unaware of these storage failures despite being responsible for oversight.

The facility failed to notify the county department of social services regarding incidents involving injuries that required medical treatment and referral to a hospital. Specifically, for two sampled residents, the facility did not follow proper notification protocols following falls that resulted in emergency medical evaluation.

The facility failed to notify the county department of social services of incidents resulting in injury requiring medical treatment and referral to a local hospital for emergency medical evaluation for 2 of 9 sampled residents. Specifically, for Resident #6, an accident report was not successfully transmitted to the regulatory agency until January 12, 2023, due to an unsent email draft. Resident #8 also experienced an incident that was not properly reported according to required timelines.

The facility failed to ensure the Special Care Unit (SCU) was free from hazards, as evidenced by a maintenance cart containing tools and painting supplies being left unattended in resident areas. This created a risk for residents with known wandering behaviors and cognitive impairments.

The facility failed to provide supervision in accordance with the resident's assessed needs for 1 of 5 sampled residents, resulting in a Type A1 violation.

The facility failed to maintain the Special Care Unit (SCU) in a safe and orderly manner. A maintenance cart containing tools and painting supplies was left unattended in a resident's room, creating a hazard in an area with residents known to have wandering behaviors.

The facility failed to ensure a resident was treated with respect and dignity by allowing the resident to lie in feces for over 30 minutes while being fed. Staff members observed the odor and were aware of the need for care but failed to provide incontinent care promptly.

The facility failed to ensure a resident was treated with respect and dignity. Specifically, staff allowed a resident to remain in feces for over 30 minutes and provided feeding services without providing necessary incontinence care.