Inspection Reports for
Wesley Manor
5012 E Manslick Rd, Louisville, KY 40219, United States, KY, 40219
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 25, 2025
Visit Reason
The inspection was conducted to investigate complaints related to resident grievances, wound care treatment orders, and infection prevention practices at Wesley Manor nursing home.
Complaint Details
The investigation was complaint-driven, focusing on grievances related to missing resident belongings, wound care treatment adherence, and infection control practices. The grievance complaints were found to be unaddressed, and infection control lapses were observed.
Findings
The facility failed to ensure resident grievances were properly addressed and residents were informed about the grievance process. Staff did not follow physician orders for wound care for one resident, and infection control practices were inadequate, including failure to wear gloves during eye drop administration and improper hand hygiene during wound care.
Deficiencies (3)
F 0565: The facility failed to ensure resident council grievances were acted upon for two residents and residents were unaware of how to file grievances or who was responsible for responding to them.
F 0684: The facility failed to follow physician's orders for treatment of a skin tear and a surgical wound for one resident, including incorrect dressing application and omission of ordered wound care steps.
F 0880: The facility failed to ensure staff donned gloves when administering eye drops to one resident and failed to perform hand hygiene between glove changes during wound care for another resident.
Report Facts
Residents sampled for wound care: 16
Residents reviewed for medication administration: 6
Residents reviewed for infection control: 5
Residents attending resident council interviewed: 6
Residents affected by grievance deficiency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Admissions and Social Services | Director of Admissions and Social Services (DSS) | Named as the grievance official responsible for grievance handling. |
| Director of Nursing | Director of Nursing (DON) | Provided statements regarding grievance process and wound care expectations. |
| Administrator | Administrator | Stated expectations for grievance notification and follow-up. |
| Certified Nurse Assistant 5 | Certified Nurse Assistant (CNA) | Interviewed regarding wound care attempts on Resident 3. |
| Registered Nurse 6 | Registered Nurse (RN) | Interviewed about wound care and dressing removal for Resident 3. |
| Registered Nurse 8 | Registered Nurse (RN) | Removed dressing and notified Nurse Practitioner about wound care issue. |
| Nurse Practitioner 14 | Nurse Practitioner (NP) | Interviewed about wound care expectations and orders. |
| Certified Medication Aide 4 | Certified Medication Aide (CMA) | Observed administering eye drops without gloves. |
| Registered Nurse 1 | Registered Nurse (RN) | Observed performing wound care without hand hygiene between glove changes. |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Apr 15, 2025
Visit Reason
An abbreviated survey was conducted to assess compliance at Wesley Manor.
Findings
The survey was substantiated with no deficiencies cited.
Inspection Report
Routine
Deficiencies: 3
Date: Feb 25, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to medication self-administration, food safety, infection control, and overall facility operations.
Findings
The facility failed to properly assess a resident for self-administration of medications, maintain food safety standards by allowing dented canned goods and incomplete refrigerator temperature logs, and implement adequate infection prevention and control practices including improper mask use, medication handling, and PPE disposal.
Deficiencies (3)
F 0554: The facility failed to assess Resident #18 for self-administration of medications and allowed medications to be left in the resident's room without an order or assessment.
F 0812: The facility failed to remove five dented canned food items from one kitchen and maintain accurate refrigerator temperature logs in two kitchens, risking food safety.
F 0880: The facility failed to maintain an infection control program, including improper mask use by staff, handling medications with bare hands, and placing biohazard containers outside resident rooms.
Report Facts
Residents in sample: 23
Dented canned food items: 5
Refrigerator temperature log missing days: 22
Refrigerator temperature log missing days: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Observed wearing inappropriate mask and handling medications with bare hands |
| LPN #1 | Licensed Practical Nurse | Left medications in Resident #18's room without assessment or order |
| Assistant Director of Nursing | Assistant Director of Nursing/Infection Preventionist | Interviewed regarding medication self-administration and infection control failures |
| Director of Nursing | Director of Nursing | Interviewed regarding medication self-administration, food safety, and infection control |
| Administrator | Facility Administrator | Interviewed regarding responsibility for medication self-administration and infection control |
| DA #1 | Dietary Aid | Interviewed about dented canned food handling and refrigerator temperature logs |
| DA #2 | Dietary Aid | Interviewed about dented canned food handling and refrigerator temperature logs |
| RD/DM | Registered Dietitian/Dietary Manager | Interviewed about dented canned food handling and refrigerator temperature logs |
| HCCFSS | Health Care Center Food Services Supervisor | Interviewed about dented canned food handling and refrigerator temperature logs |
Inspection Report
Deficiencies: 0
Date: Jun 28, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction for Wesley Manor, indicating a regulatory inspection was conducted.
Findings
No health deficiencies were found during the inspection.
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