Inspection Reports for Wolf Run Village

The inspection was complaint-related and incident-based, with the reason stated as 'Complaint, Incident'.

Two deficiencies were identified: a resident bedside enabler was not securely fastened to the bed frame, and unsanitary conditions were found in a resident's bathroom with overflowing trash and soiled laundry on the floor. Both deficiencies were corrected and plans of correction were accepted and implemented.

The inspection was complaint-related, as indicated by the reason 'Complaint, Incident' in the inspection information section. Substantiation status is not explicitly stated.

The facility was found to have fully implemented the submitted plan of correction. Deficiencies related to staff awake requirements, medical evaluation changes, medication administration, prescription management, and following prescriber's orders were addressed with training, audits, and policy updates.

The facility was found to be in compliance after corrections were made following the inspection. Several deficiencies were identified related to posting of license inspection summary, record confidentiality, staffing levels, training topics, sanitary conditions, food storage, fire drill procedures, smoking area guidelines, medication storage, equipment calibration, and resident assessments, all of which had plans of correction implemented and verified.

The facility was found to have fully implemented the submitted plan of correction related to a staff verbal abuse incident. Continued compliance must be maintained.

The complaint investigation was triggered by an incident on 4/28/24 where Resident #1 reported skin tears caused by Staff Person B. Staff Person C was aware but failed to report the abuse and did not suspend or supervise Staff Person B. The investigation concluded abuse was not suspected by the facility, PCP, or family, but reporting and supervisory failures were noted.

The investigation found violations related to resident abuse reporting and supervision failures. Staff failed to immediately report suspected abuse, did not develop or implement a supervision plan or suspend the involved staff, and delayed reporting to the appropriate authorities. A provisional license was issued due to these violations and mistreatment concerns.

The inspection found deficiencies related to emergency telephone numbers not posted in a resident room, incomplete medical evaluation documentation for a resident, and medication record documentation errors. All deficiencies were corrected or addressed with plans of correction implemented by 06/16/2023.

The visit was complaint-related and the plan of correction submitted by the facility was fully implemented as of 01/05/2023.

The investigation found that a staff person was verbally aggressive and frustrated with residents, causing residents to avoid requesting assistance. A plan of correction was implemented including reduced hours for the staff member, training, and ongoing monitoring by the administrator.

The facility failed to report a resident fall incident within the required 24-hour timeframe and did not secure immediate medical care for the resident after the fall, despite signs of injury. The resident had a hip fracture confirmed by mobile x-ray, and the family refused EMS transport. The facility followed the hospice care plan and later transferred the resident to an inpatient hospice unit for pain management. Staff were educated on timely incident reporting and medical care policies.

The complaint involved incidents on 3/8/21 and 3/11/21 where staff person 'B' yelled at residents and treated them disrespectfully. The complaint was substantiated as the staff member's behavior was confirmed and resulted in termination.

The facility failed to report an incident involving staff yelling at residents and residents were not treated with dignity and respect. The staff member involved was terminated and corrective actions including staff training were implemented.

The submitted plan of correction was found to be fully implemented, with continued compliance required. A deficiency was noted regarding the lack of window coverings in one resident's room, which was subsequently corrected with new blinds installed and staff training completed.