Inspection Reports for The Wheatlands Health Care Center

This report is a revisit conducted by a State surveyor to verify that previously reported deficiencies have been corrected and to document the date such corrective action was accomplished.

The report confirms that the previously cited deficiency with ID Prefix S3420 and Regulation #28-39-256 was corrected as of 09/29/2016. No other deficiencies or uncorrected issues are noted.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report confirms that the deficiency identified under regulation 483.35(i) with ID prefix F0371 was corrected as of 09/26/2016. No other deficiencies or uncorrected issues are noted.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be an "E" level deficiency, pattern, constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance and plan of correction.

This document is a Plan of Correction submitted in response to deficiencies cited in a prior inspection report dated 2016-09-15 for The Wheatlands facility.

The plan addresses deficiencies related to infection control during food service in the dementia wing, including staff education, retraining, and monitoring of food temperatures to ensure compliance.

The inspection was conducted as an Assisted Living/Residential Healthcare Licensure Resurvey to assess compliance with mechanical requirements and other regulatory standards.

The facility failed to ensure that hot water temperatures in the assisted living North hall did not exceed 120 degrees Fahrenheit, with multiple resident sinks measuring temperatures above this limit. Maintenance staff reported no water temperature check logs for assisted living and no policy regarding water temperature checks was in place.

The inspection was a Health Resurvey to assess compliance with food procurement, storage, preparation, and serving sanitary requirements.

The facility failed to ensure foods served from the steam table remained at or above 135 degrees Fahrenheit and failed to ensure staff washed their hands between resident contact and plating of food, risking cross contamination and foodborne illness.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit report indicates that all previously cited deficiencies have been corrected as of the revisit date.

The inspection was conducted as a complaint investigation (DNRX11) regarding the facility's failure to notify the physician of changes in a resident's condition as requested.

The facility failed to assess and notify the physician as requested about decreases in oxygen saturations for one resident, despite multiple nurse notes documenting low oxygen levels without physician notification or lung sound assessments.

The complaint investigation revealed that the facility did not notify the physician as requested when the resident's oxygen saturations dropped to low levels multiple times between 2/23/16 and 3/8/16, despite documentation of these events in nursing notes.

An Abbreviated Survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a 'D' level deficiency that constitutes no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance and the plan.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility complied with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required, and enforcement remedies were recommended due to failure to achieve substantial compliance.

The Health Survey and investigation of complaints #75574 and #78056 were conducted at the facility.

The investigation resulted in a finding of no deficiency citations with respect to applicable regulations under 42 CFR Part 483, Subpart F, for long-term care facilities.

Investigation of complaints #75574 and #78056 resulted in no deficiency citations.

The inspection was conducted as a health survey and investigation of complaints #75574 and #78056 at The Wheatlands Health Care Center.

The investigation resulted in a finding of no deficiency citations with respect to applicable regulations under 42 CFR Part 483, Subpart F, requirements for long-term care facilities.

Investigation of complaints #75574 and #78056 resulted in no deficiencies found.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be 'F' level, widespread, with no harm but with potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This is a post-certification revisit to verify correction of previously cited deficiencies from the survey completed on 2013-12-10.

All previously cited deficiencies identified by regulation numbers and prefix codes were corrected as of 2014-01-09.

This revisit inspection was conducted to verify that previously reported deficiencies at The Wheatlands Health Care Center were corrected.

The report confirms that the deficiency identified under regulation 26-40-303 (b)(i)(ii)(iii)(iv)(c) was corrected as of the revisit date.

This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to confirm the dates such corrective actions were accomplished.

The report documents that all previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.

This document is a Plan of Correction submitted in response to deficiencies identified during a prior inspection of The Wheatlands Assisted Living Facility.

The plan addresses deficiencies related to posting of facility policies and survey reports, and completion of Functional Capacity Screenings and Negotiated Service Agreements upon admission, annually, and after significant changes.

The inspection was a health resurvey to assess compliance with nursing facility support system regulations, specifically regarding emergency call systems in resident bathing areas.

The facility failed to ensure an emergency call light was within reach in a common bathing area, specifically the TLC Angels unit shower area. The emergency call pull cord was mounted away from the shower and not easily accessible, and the facility lacked a call light policy.

This document is a Plan of Correction submitted by the facility in response to deficiencies identified during a prior inspection.

The Plan of Correction outlines corrective actions for multiple deficiencies related to resident care plans, fall risk assessments, wound care, and facility policies. It includes staff training, audits, and monitoring responsibilities assigned to the Director of Nursing and Administrator.

The inspection was a Licensure Resurvey conducted to assess compliance with state regulations for The Wheatlands Health Care Center.

The facility failed to post notices regarding the availability of policies and procedures and the most recent survey results in places accessible to residents. Additionally, the facility did not complete required annual Functional Capacity Screens and Negotiated Service Agreements for one sampled resident within the required 365-day timeframe.

This is a post-certification revisit to verify that previously reported deficiencies have been corrected as of the revisit date.

The report confirms that all previously cited deficiencies identified by their regulation numbers and prefix codes have been corrected as of 08/31/2012.

This document is a Plan of Correction submitted by The Wheatlands ALF to address deficiencies cited in a prior inspection report.

The Plan of Correction outlines corrective actions including dental assessments, nursing staff re-education on care plans and falls, voiding diaries, dietary staff retraining on food preparation and sanitizer use, and monitoring responsibilities assigned to the Director of Nursing and Certified Dietary Manager to ensure future compliance.

The visit was a licensure re-survey to assess compliance with dietary service regulations.

The facility failed to ensure proper sanitation of the three compartment sink used for washing large pots and pans, as chemical sanitizer levels were below the manufacturer's required 200 PPM at the time of observation.

This document is a Plan of Correction submitted in response to deficiencies cited in a complaint investigation at the Wheatlands Health Care Center.

The plan addresses a deficiency related to licensed nurses failing to notify physicians when a resident's condition changes. The facility plans to hold a mandatory nurses meeting and implement monitoring and counseling to ensure compliance.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited in a prior inspection report.

The Plan of Correction addresses a deficiency related to water temperature, specifying training for housekeeping, maintenance, and residential living employees, creation of a water temperature log, and assignment of responsibility for monitoring and compliance.