Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Wheatland Manor during CMS and state inspections, most recent first.
A resident with mild cognitive impairment, multiple medical conditions, and a documented need for moderate assistance with transfers and ambulation was care planned and posted to require assist of one with a gait belt and front-wheeled walker. A CNA attempted to transfer the resident from bed to a commode without properly applying and using the gait belt, instead bear hugging the resident after moving the walker away. The resident’s legs gave out during the attempt, and the CNA lowered the resident to the floor, hearing a crack; imaging confirmed an acute displaced fracture of the humeral neck. Other CNAs and the DON confirmed that facility policy and Care Card instructions required gait belt use for such transfers and that the staff member involved was aware of these requirements.
A resident with a history of orthostatic hypotension and mobility issues fell and fractured their hip after being left unattended in the bathroom by a Resident Care Technician (RCT). The resident's care plan required assistance with a gait belt and walker, which was not followed, leading to the incident. The facility's policy did not address leaving residents unattended during transfers, contributing to the deficiency.
Failure to Use Required Gait Belt During Transfer Resulting in Resident Arm Fracture
Penalty
Summary
The deficiency involves the facility’s failure to ensure staff used a gait belt during a transfer for a resident who required moderate assistance, resulting in a left arm fracture. The resident had diagnoses including hypertension, hyperlipidemia, diabetes, and a history of fracture, and had a BIMS score of 10/15 indicating mild cognitive impairment. The MDS and Care Plan documented that the resident required moderate assistance with transfers, toileting, and ambulation, and specifically required assist of one (Ax1) with a gait belt (GB) and front-wheeled walker (FWW) for transfers and mobility. A Care Card posted in the resident’s room also indicated Ax1, GB, and FWW for transfers to the bathroom and for mobility. On the date of the incident, a CNA (Staff A) attempted to transfer the resident from the bed to the commode. According to the incident report and Staff A’s written and verbal statements, the resident could not walk as anticipated, and Staff A moved the walker away and “bear hugged” the resident to attempt the transfer instead of using the gait belt as required. During the attempt, the resident’s legs gave out, her arms went up, and Staff A heard a crack in the resident’s left arm as she lowered the resident to the floor. An X-ray later confirmed an acute mildly displaced fracture of the humeral neck/proximal diaphysis with mild medial displacement of the distal fracture fragment. Staff A acknowledged that she did not have the gait belt properly applied and stated that her fault was not grabbing and using the gait belt during the transfer. Interviews with other CNAs and the DON confirmed that facility policy and practice required the use of a gait belt for any resident needing assistance with transfers and ambulation, and that the Care Card in the room is the reference for transfer status. Staff C and Staff D stated that a gait belt is always to be used for assist-of-one transfers and that this expectation is reviewed during orientation and reinforced in practice. The DON stated that Staff A was aware of the gait belt policy and the Care Card instructions, and that there had been no documented change in the resident’s transfer status from assist of one. The DON also reported prior awareness that Staff A had transferred residents without a gait belt on previous occasions, and that staff are instructed they may increase, but not decrease, the level of assistance from what is documented on the Care Plan and Care Card.
Failure to Supervise Resident Leads to Fall and Fracture
Penalty
Summary
The facility failed to provide adequate supervision to prevent a fall for a resident, resulting in a fracture that required surgical repair. The resident, who had a history of orthostatic hypotension, right hip fracture, and coronary artery disease, required partial to moderate assistance for transfers and ambulation as per their care plan. On the day of the incident, a Resident Care Technician (RCT) assisted the resident off the toilet and left them unattended in the bathroom to place the resident's watch on a charger. During this time, the resident fell, resulting in a left hip fracture. The Director of Nursing (DON) confirmed that the resident's care plan required assistance with a gait belt and walker for transfers and ambulation, and the facility policy prohibited leaving residents unattended during such activities. Despite this, the RCT left the resident alone, leading to the fall. The facility's policy on using a gait belt did not specifically address leaving residents unattended, which contributed to the incident. Observations and interviews with staff confirmed that the care plan and facility policies were not followed, resulting in the resident's injury.
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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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Nursing homes near Wheatland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clarence Nursing Home | 12.3 mi | ★★★★★ | 0 | 0 |
| Fieldstone Of Dewitt | 14.6 mi | ★★★★★ | 2 | 0 |
| Cedar Manor Nursing Home | 15.4 mi | ★★★★★ | 6 | 0 |
| Jackson Ridge Healthcare Center | 18 mi | ★★★★★ | 0 | 0 |
| Maquoketa Care Center | 18.3 mi | ★★★★★ | 1 | 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.