Above 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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wesley On Grand during CMS and state inspections, most recent first.
An LPN administered Novolog flexpen insulin to two residents with diabetes without properly priming the pen and removed the needle too soon after injection. Observations showed the LPN dialed the pen to 1 unit and pushed the button while holding it horizontally before setting the ordered dose, then removed the needle within only a few seconds. The ADON stated the pen should be primed before each injection and held in place for 30 seconds, while the manufacturer instructions required priming and holding the dose knob in for at least 6 seconds.
Staff were observed serving beverages by touching the rims of glasses, handling food without proper glove changes, and failing to wear hairnets in food prep areas. These actions did not follow facility policies and resulted in unsanitary food service conditions for residents.
Insulin Flexpen Not Primed and Needle Removed Too Soon
Penalty
Summary
Significant medication errors occurred during insulin administration for two residents with diabetes. Resident #75 had a diagnosis of diabetes and an order for Novolog flexpen per sliding scale three times daily. During observation, Staff A, LPN, checked the resident’s blood sugar, obtained the Novolog flexpen, cleansed the pen, attached a needle, and then turned the dial to 1 and pushed the button while holding the pen horizontally before dialing to the ordered dose of 6 units. Staff A inserted the needle into the resident’s left lower abdomen, administered the insulin, and removed the needle from the insertion site within 3 to 4 seconds. Resident #89 had a diagnosis of Type 2 diabetes and an order for Novolog flexpen 15 units SQ three times daily. During observation, Staff A obtained the flexpen, cleansed it, attached a needle, turned the dial to 1, and pushed the button while holding the pen horizontally before dialing to the ordered dose of 15 units. Staff A then administered the insulin into the resident’s left upper arm and removed the needle from the insertion site within 4 seconds. Staff B, ADON, stated the insulin pen should be primed by dialing to 2 units, pushing the end of the pen, and checking for insulin at the needle tip, and stated the pen and needle should be held in place for 30 seconds when using an insulin flexpen. The Novolog manufacturer instructions required priming the pen before each injection and holding the dose knob in for at least 6 seconds before removing the needle. The facility’s medication administration policy did not address insulin administration, and the facility stated nurses were expected to follow manufacturer instructions.
Failure to Maintain Sanitary Food Service Practices
Penalty
Summary
During a lunch meal service, multiple staff members failed to follow proper food handling and hygiene protocols. Dietary Aides were observed carrying and serving glasses of juice and milk with their hands over the tops of the glasses, allowing their fingers to touch the rims before serving them to residents. Additionally, a Hospitality Manager was present in the food service area behind the service line without wearing a hairnet, standing above the food and assisting with checking meat temperatures. Another staff member, while wearing gloves, touched various surfaces including the outside of food packaging, utensils, paper menus, countertops, and then handled ready-to-eat food items such as buns and sandwiches without changing gloves between tasks. This staff member also handled a bun with bare hands before donning gloves and continued to touch multiple surfaces and food items without changing gloves as required. Facility policies required staff to wear hairnets in food preparation areas, avoid touching the tops of glasses when serving, and use gloves for one-time use when handling ready-to-eat foods, changing gloves between tasks. These expectations were confirmed by the Director of Dining. The observed actions were not in accordance with these policies, resulting in food being served under unsanitary conditions and increasing the risk of foodborne illness for the facility's residents. The facility had a reported census of 73 residents at the time of the observations.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Scottish Rite Park Inc | 0.4 mi | ★★★★★ | 4 | 0 |
| Iowa Jewish Senior Life Center | 1.1 mi | ★★★★★ | 20 | 0 |
| Ramsey Village | 1.8 mi | ★★★★★ | 1 | 0 |
| Calvin Community | 2.2 mi | ★★★★★ | 12 | 0 |
| University Park Nursing And Rehabilitation Center | 2.5 mi | ★★★★★ | 4 | 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 October 2026) and official state health department websites.