Inspection Reports for
The Wellington Senior Living

19 CSR 30-86.047(47)(A) Physicians Orders Followed: Based on observation, interview, and record review the facility failed to ensure a physician order was obtained for Resident #1's oxygen therapy, and oxygen was in use without a documented order.

19 CSR 30-87.030(13) Food-Protected, Temp, Need to Contact DHSS: The facility failed to protect food from potential contamination as multiple pans and containers of food were observed uncovered in warmers, the cooler, refrigerator and freezer.

19 CSR 30-87.030(55) Ventilation Hoods, Clean, Filters Removable: Ventilation hood filters over the stove and grill were observed black with grease buildup and the facility did not provide a policy regarding hood cleaning.

19 CSR 30-87.030(64) Grills/Griddles/Microwaves/Other-Clean Daily: The facility failed to ensure the grill and similar cooking surfaces were cleaned daily as the grill was observed covered in black and white charred buildup.

19 CSR 30-87.030(65) Nonfood Contact Surfaces,Cleaned as Needed: Nonfood-contact surfaces had accumulation of grease, food debris, smudges and corrosion on equipment and shelving, indicating they were not being cleaned as needed.

19 CSR 30-87.030(68) 3 Compartment Sink-Wash/Rinse/Sanitize: The Memory Care Unit dishwasher was broken and staff were washing and rinsing dishes in a single-compartment sink with soapy water, creating inadequate sanitization for MCU residents.

19 CSR 30-87.030(87) Glasses/Cups/Utensils Storage: Several stacks of plates, bowls and other dishware were stored upright and not covered or inverted, which could allow contamination of stored glassware and dishes.

19 CSR 30-88.010(29) Dignity/Privacy: Based on observation, interview, and record review, Memory Care Support Partner A was rude and disrespectful to Resident #1 on multiple occasions, including on video, and the facility failed to ensure the resident was treated with dignity and respect. The facility census was 42.

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements: The facility failed to ensure wastebaskets were metal, UL or FM fire-resistant rated; non-approved wastebaskets were observed in multiple resident rooms.

19 CSR 30-86.022(17) Oxygen Storage Requirements: The facility failed to provide proper oxygen cylinder storage in accordance with NFPA 99; unsecured oxygen bottles were observed stored in resident rooms.

19 CSR 30-86.032(18) Extension Cords/Duplex Receptacles: The facility did not ensure extension cords, power strips and multi-plug adapters were used safely; observations included suspended power strips, non-approved extension cords, and unprotected multi-plug adapters in resident rooms.

19 CSR 30-86.047(19) TB Screen Residents & Staff: Based on interview and record review, the facility failed to ensure the required two-step tuberculosis screening test or an annual evaluation was completed for four of five sampled residents (Residents #1, #2, #3, and #5).

19 CSR 30-86.047(36) Proper Care Per Individual Service Plan: Based on observation, interview and record review, the facility failed to provide care as defined in residents' individualized service plans for two of five sampled residents (Resident #1 and Resident #5).

19 CSR 30-86.047(47)(A) Physicians Orders Followed: Based on observation, interview and record review, the facility failed to follow physician orders when staff did not cleanse, apply Desitin 13% and change one sampled resident as ordered.

19 CSR 30-86.047(47)(F)(2) Influenza/Pneumococcal Documented Assessment: Based on record review and interview, the facility failed to ensure documentation of education and opportunity to refuse the influenza immunization for three of five sampled residents.

19 CSR 30-87.020(12) Floor Surfaces: Based on observation, interview, and record review, the facility failed to ensure non-food contact floor surfaces and equipment were cleaned as needed, with observations of spilled soda, caked grease behind the fryer, and dark sticky substance in the walk-in refrigerator.

19 CSR 30-87.030(55) Ventilation Hoods, Clean, Filters Removable: Based on observation, interview, and record review, the facility failed to ensure ventilation hoods and filters were kept clean and in good repair, with heavy grease build-up observed on hood grates.

19 CSR 30-87.030(65) Nonfood Contact Surfaces, Cleaned as Needed: Based on observation, interview, and record review, the facility failed to ensure non-food contact surfaces were cleaned as needed, with food splatter, grime, crumbs and debris observed on counters, equipment and bulk bins.

19 CSR 30-86.047(61)(A) Staffing Ration, Resident Care & Fire Safety: Based on interview and record review, facility staff failed to provide proper and timely care for three of five sampled residents when they failed to answer residents' call lights in a timely manner.

19 CSR 30-86.047(46) Safe & Effective Medication System: Based on interview and record review, the facility failed to implement a safe and effective system of medication administration when it failed to reconcile medications, failed to implement a medication dosage change, and administered the wrong dosage of Coreg on two separate occasions.

19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements Trash and Rubbish Disposal: Observations and an interview found multiple resident rooms contained non-approved wastebaskets, potentially affecting all 60 residents.

19 CSR 30-86.022(17) Oxygen Storage Requirements: Observations and an interview found oxygen bottles stored in resident rooms and no proper oxygen storage room, potentially affecting all 60 residents.

19 CSR 30-86.045(3)(A)(6)(C) Individual Evacuation Plan - Evaluate: Based on observation, interview, and record review, the facility failed to ensure residents who required more than minimal assistance to safely evacuate had individualized evacuation plans that evaluated location within the facility, proximity to exits and areas of refuge, risk of resistance, mobility, need for additional staff support, consciousness, and response to instructions for three of eight sampled residents.

19 CSR 30-86.047(45) Injections, Insulin Administration: Based on interview, observation and record review, a Level 1 medication aide (LIMA A) administered insulin to two residents without a verifiable insulin certification and no record of insulin certification was found in the personnel/registry checks.

19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: Based on record review and interview, the facility failed to ensure the resident or legally authorized representative was informed upon admission and annually of resident rights for five of five sampled residents, with no documentation of rights review in 2023.