Inspection Reports for
Edna Tina Wilson Living Center

The facility failed to establish and maintain an effective infection prevention and control program, specifically failing to place a resident with an unstageable pressure ulcer on enhanced barrier precautions and staff not wearing appropriate personal protective equipment during care. Multiple staff interviews confirmed that residents with wounds should be on enhanced barrier precautions, but several residents were missed.

The facility received 149 complaints with 29 resulting in on-site inspections. Two citations resulted from those complaints.

Across 16 inspections, 14 had no citations while 2 inspections resulted in 7 total citations including standard health and Life Safety Code violations. The facility received 149 complaints with 29 on-site inspections and no formal enforcement actions recorded.

The survey identified deficiencies related to honoring residents' rights to request or refuse treatment and to formulate advance directives, specifically inconsistent application of DNR code status indicators. Additionally, deficiencies were found in providing adequate care for activities of daily living, including grooming and nail care for residents.

The facility failed to make efforts to resolve a resident's grievance about wandering residents entering their room unannounced, and did not consistently provide or monitor oxygen therapy as ordered for another resident.