Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wedgewood Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to provide access to a motorized wheelchair for a cognitively intact resident with MS and significant mobility impairment. The resident reported that his powerchair was taken out of use after admission because it was in poor condition, and he was left with a manual wheelchair despite having only one hand available for mobility. Therapy leadership confirmed the resident was never assessed for powerchair eligibility and the facility had no spare powerchair for evaluation; the NHA acknowledged the resident was not worked with on replacing it.
The facility did not update the Daily Staffing Census on one observed day, displaying outdated information from the previous day. The Staffing Coordinator, responsible for updating the form, confirmed the lapse, which resulted in inaccurate staffing information being available to residents and visitors.
In a dementia unit, the facility failed to maintain operational call light systems in resident bathrooms, with cords either missing or improperly wrapped, hindering their use. Staff confirmed the oversight, acknowledging the importance of accessible call systems even for residents with cognitive deficits.
The facility failed to maintain resident dignity by not ensuring staff knocked or announced themselves before entering rooms. A resident in a dementia unit reported being startled by unannounced entries, and observations confirmed staff entering without knocking. Similar issues were noted with two other residents, with staff entering rooms and turning on lights without prior notice. Interviews revealed a habit of entering rooms without knocking, contrary to the facility's dignity policy.
The facility failed to develop resident-centered care plans for two residents, leading to deficiencies in addressing their specific needs. One resident with PTSD had no specific interventions in their care plan, while another resident's care plan inaccurately reflected their advance directive status. The facility's policy requires comprehensive care plans, but these were not adequately implemented.
The facility failed to provide adequate care for three residents, leading to deficiencies in treatment and monitoring. A resident with cognitive deficits had an untreated skin tear, another with diabetes lacked proper insulin monitoring, and a third on anticoagulants experienced frequent nosebleeds without adequate documentation or monitoring. The facility lacked policies for insulin and anticoagulant monitoring, contributing to these deficiencies.
A facility failed to ensure proper communication with a dialysis center for a resident requiring dialysis services. The resident, who was blind and had multiple health conditions, reported not receiving medications on time and noted that staff did not check his AV fistula post-dialysis. The communication binder lacked updates from the dialysis center, and the facility's policy on dialysis communication was not followed, leading to a deficiency in care.
Failure to Provide Access to Motorized Wheelchair
Penalty
Summary
The facility failed to accommodate the mobility needs of a resident with Multiple Sclerosis by not providing access to a motorized wheelchair. The resident was admitted in May 2025 with diagnoses including MS, muscle wasting and atrophy, need for assistance with personal care, abnormalities of gait and mobility, and major depressive disorder. The resident was cognitively intact with a BIMS score of 15 out of 15, had upper and lower extremity impairment, and used a wheelchair for mobility, with mobility needs documented as dependent or requiring maximal assistance. During interview, the resident stated he wanted to get up and be out of bed more, but without his powerchair he felt limited to being placed in a manual wheelchair, where he could only spin in circles because he had use of only one hand. He reported that he brought his powerchair to the facility on admission, but it was taken for evaluation and then removed from use because it was not in good enough condition and had bugs in it. He stated the chair was placed in the shed, later retrieved by the vendor, and that he was never assessed for a replacement or new powerchair despite expressing frustration and loss of independence. Record review showed the resident’s care plan addressed MS, activity preferences, and ADL self-care deficits, but the MDS only reflected assessment for a manual wheelchair, not a motorized one. Therapy leadership stated residents must be screened by PT for safe powerchair use, but confirmed this resident was not assessed for eligibility because his chair was not in good enough condition and the facility had no extra powerchairs to use for evaluation. The NHA confirmed the facility removed the resident’s powerchair on admission, acknowledged the resident was fully cognitively intact and younger than many other residents, and stated the facility did not work with him on replacing the powerchair.
Failure to Update Daily Staffing Census
Penalty
Summary
The facility failed to ensure that the Daily Staffing Census was updated and available for residents and visitors on one of the observed days. On the morning of 12/16/2024, the Daily Census Staffing Form displayed in the lobby was dated 12/15/2024, indicating it was not current. Staff B, the front desk receptionist, was unsure who was responsible for updating the form but confirmed it was typically updated daily. This lapse was confirmed by Staff G, the Staffing Coordinator, who acknowledged that she did not update the form in a timely manner on that day. The facility's policy requires the Daily Staffing Census to be updated daily to reflect the number of nursing personnel responsible for direct care. The policy also mandates that the form be placed in a prominent location for easy access by residents and visitors. Staff G, who usually updates the form on weekdays, confirmed that the form was not updated on 12/16/2024, and the previous day's information was still displayed. This oversight resulted in the failure to provide accurate staffing information as required by the facility's policy.
Deficiency in Call Light System Accessibility in Dementia Unit
Penalty
Summary
The facility failed to ensure that all resident room bathrooms in the 600 secured/dementia unit were equipped with a fully operational call light system. Observations over several days revealed that multiple rooms had call light cords either missing or improperly wrapped around bathroom handrails, preventing their effective use. Specifically, rooms had cords tied in a manner that hindered actuation of the call system, and some rooms were entirely missing the cords necessary to trigger the alarm. Interviews with staff confirmed these deficiencies, acknowledging that residents, particularly those in the dementia unit, might tamper with the cords, but also admitting that these issues should have been identified and addressed during routine safety checks. The facility's policy mandates that all residents have access to call bells at all times, regardless of their cognitive abilities. The policy outlines that call lights should be within reach when residents are in bed or in the bathroom, and any defective equipment should be reported to maintenance. Despite these guidelines, the facility did not maintain the call light systems in the 600 unit, compromising the ability of residents to alert staff in case of need. Staff interviews further confirmed the oversight, with the Unit Manager acknowledging the importance of maintaining accessible call systems even for residents with cognitive deficits.
Failure to Maintain Resident Dignity by Not Announcing Entry
Penalty
Summary
The facility failed to honor and maintain resident dignity by not ensuring staff knocked or announced themselves before entering residents' rooms. This deficiency was observed in the cases of three residents. Resident #94, who resides in a secured dementia unit and has moderate cognitive impairment, reported being startled when staff entered her room without knocking, especially at night. Despite having communicated this issue to a nurse, the behavior persisted. Observations confirmed that Staff C, a CNA, entered Resident #94's room multiple times without knocking or announcing herself, even acknowledging the oversight during one such instance. Similarly, Resident #9 experienced staff entering their room and turning on the light without prior notice. Housekeeping staff also entered the room without knocking or announcing themselves. For Resident #22, a CNA entered the room, turned on the light, and only then knocked on the bed's footboard to announce it was time for dialysis. Interviews with staff, including CNAs and the Unit Manager, revealed a habit of entering rooms without knocking, despite the facility's policy requiring staff to announce themselves and request permission before entering residents' rooms. The facility's dignity policy emphasizes treating residents with dignity and respect, including respecting their private space and property.
Deficiencies in Resident-Centered Care Plans
Penalty
Summary
The facility failed to develop a resident-centered care plan for two residents, leading to deficiencies in addressing their specific needs. Resident #73, who was admitted with multiple diagnoses including Parkinson's disease, major depressive disorder, and PTSD, was observed in a state of severe cognitive impairment. Despite these conditions, the care plan for Resident #73 lacked focus, goals, or interventions specifically related to PTSD. Staff interviews revealed that while some staff were aware of the resident's behaviors and attempted to manage them through redirection and incentives, there was no formalized care plan addressing PTSD, which was included under a general behavioral care plan. Resident #109's care plan also demonstrated deficiencies, particularly concerning the resident's advance directives. Although the resident had a physician's order for Do Not Resuscitate (DNR), the care plan inaccurately reflected the resident's status as Full Code. This discrepancy indicates a failure to ensure that the care plan was current and aligned with the resident's or their family's decisions. The facility's policy requires that care plans be updated to reflect the resident's status, but this was not adhered to in the case of Resident #109. The facility's policy outlines the need for a comprehensive, person-centered care plan that includes measurable objectives and time frames to meet the resident's needs. However, the care plans for both residents did not meet these standards, as they failed to address specific medical and psychosocial needs adequately. The interdisciplinary team is responsible for reviewing and revising care plans, but the deficiencies observed suggest a lapse in this process, leading to care plans that did not accurately reflect the residents' needs and preferences.
Deficiencies in Resident Care and Monitoring
Penalty
Summary
The facility failed to provide adequate care and services for three residents, leading to deficiencies in their treatment and monitoring. Resident #90, who has cognitive deficits and a history of dementia and Alzheimer's, was observed with an untreated skin tear on her right arm. Despite being in a room with staff present, the wound was left open to air without a bandage, and there was no documentation of the injury in her medical records. Staff were unaware of the wound's origin, and there was no evidence of physician or family notification regarding the skin tear. Resident #58, diagnosed with Type II Diabetes and heart failure, did not receive proper insulin monitoring. Although the resident was on an insulin regimen, there were no physician orders to check blood sugar levels prior to insulin administration, nor were there orders to monitor for potential side effects. The facility lacked a policy for monitoring residents on injectable insulin, and the primary physician confirmed that blood sugar checks should have been conducted upon the resident's return from the hospital. Resident #80, who was on anticoagulant therapy, experienced frequent nosebleeds that were not adequately monitored or documented. Despite being on blood thinners, there were no orders for monitoring nosebleeds, and staff failed to document these occurrences in the resident's medical records. The medical physician was unaware of the frequency of the nosebleeds and expressed concern about the continuation of blood thinners without proper monitoring. The facility did not provide a policy for monitoring residents on anticoagulants, highlighting a gap in care for Resident #80.
Failure in Dialysis Communication for a Resident
Penalty
Summary
The facility failed to ensure proper communication between the nursing home and the dialysis center for a resident who required dialysis services. The resident, who was blind and had multiple health conditions including end-stage renal disease, expressed concerns about not receiving medications on time and noted that staff did not check his AV fistula after returning from dialysis. Observations revealed that the communication binder, which was supposed to contain vital information from the dialysis center, was incomplete, lacking any new notes or updates from the dialysis center. Interviews with staff, including CNAs and LPNs, indicated that the resident had a communication book for dialysis, but the dialysis center had not been providing updates in the book. The facility's Director of Nursing (DON) confirmed that the dialysis center was not writing on the communication forms, prompting the facility to request reports weekly. However, these reports were not consistently integrated into the resident's electronic medical record (EMR) due to the absence of a full-time medical records clerk. The facility's policy on dialysis communication outlined a detailed procedure for ensuring ongoing communication and collaboration with the dialysis provider. This included completing a dialysis communication form with pertinent information and ensuring it was returned with the resident. However, the policy was not followed as the dialysis center did not complete the forms, and the facility did not maintain a consistent record of dialysis reports in the resident's medical record. This lack of communication and documentation led to a deficiency in providing safe and appropriate dialysis care for the resident.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lakeland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manor At Carpenters, The | 0 mi | ★★★★★ | 0 | 0 |
| The Club At Lake Gibson | 0 mi | ★★★★★ | 2 | 0 |
| Valencia Hills Health And Rehabilitation Center | 0.6 mi | ★★★★★ | 28 | 0 |
| Breezy Hills Rehab And Care Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Vivo Healthcare Lakeland | 2.2 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.