Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Wesley Village during CMS and state inspections, most recent first.
Kitchen sanitation, labeling, cooling, and dishwasher monitoring failures: The Dietary Manager was observed in the kitchen without a hairnet, and open food items in the cooler and freezer were found unlabeled or missing required dates and initials. A bag of onions was stored on the floor, cooling logs did not document required temperature checks for prepared foods, staff relied on external dishwasher readings instead of verifying dish surface temps, and the ceiling above the dish area had visible debris, staining, and dust-like buildup.
A resident's MDS was coded inaccurately to show anticoagulant use even though the physician's orders did not include an anticoagulant and the MDS Coordinator verified the resident had not received one since admission.
The facility failed to maintain consistent temperature logs for dishwashers, freezers, and refrigerators across four kitchens, potentially affecting 48 residents. Missing logs were noted in December 2024, January 2025, and February 2025, with the Food Service Advisor and Dietary Manager acknowledging the oversight.
The facility failed to ensure proper PPE usage for a COVID-19 positive resident and did not adhere to Enhanced Barrier Precautions for residents with indwelling devices or wounds. A CNA entered a COVID-19 positive resident's room with only a surgical mask, and staff did not use gowns during high-contact care activities for residents under Enhanced Barrier Precautions.
A facility failed to notify the state mental health authority for reevaluation of a resident with significant changes in mental status. The resident, with a history of dementia and psychosis, exhibited worsening behaviors and delusions. Despite these changes, no new referral or reevaluation was documented, which the DON acknowledged should have occurred.
A resident was prescribed Quetiapine for depression without a documented rationale or appropriate diagnosis for its use. The resident's medical record included diagnoses of dementia and major depressive disorder, but no mental health diagnosis justifying the antipsychotic. Observations showed no behaviors supporting its use, and the DON confirmed the lack of clinical rationale. The facility pharmacist had not reviewed the medications, contributing to the deficiency.
A facility failed to ensure hospice documentation and communication were accessible for a resident receiving hospice care. The resident's medical record lacked essential hospice documents, and staff were unaware of the hospice provider. Interviews revealed a lack of awareness and access to hospice documentation, with the DON indicating that hospice residents should have a binder with required information, which was not present.
Kitchen sanitation, labeling, cooling, and dishwasher temperature monitoring failures
Penalty
Summary
The facility failed to ensure hairnets were worn in the kitchen. The facility’s Hairnet Use policy required all employees, volunteers, students, and contractors working in dietary services to wear an approved hairnet or other approved hair restraint at all times while in food production, preparation, service, or dishwashing areas, and to wear hairnets before entering any food handling area. On 12/1/2025 at 10:18 AM, the Dietary Manager exited the kitchen without a hairnet and then stated before re-entering the kitchen, “Let me grab a hairnet.” At 10:35 AM, she confirmed she had been in the kitchen without a hairnet earlier that morning and stated all employees should be wearing a hairnet whenever they enter the kitchen. The facility also failed to ensure opened food items in the refrigerator and freezer were dated and labeled, and failed to keep food off the floor in storage. The Open Food Labeling and Storage policy required all opened, prepared, or repackaged food items to be labeled immediately with the product name, date opened or prepared, use by/discard date, and staff initials, and required foods to be sealed, covered, stored off the floor, and separated properly. On 12/1/25 at 10:20 AM, the kitchen walk-in cooler contained open items without labels or open dates, including chocolate chips, almonds, heavy whipping cream, a partial block of butter, and liquid scrambled eggs. The Dietary Manager confirmed the items were opened and not labeled. At 10:25 AM, a large mesh bag of red onions was found resting on the floor in the dry storage room entryway, and the Dietary Manager stated, “These should not be placed here.” At 10:28 AM, the walk-in freezer contained two large zippered bags of roasted turkey and turkey gravy marked only with “11/27,” and the Dietary Manager confirmed the contents were from 11/27/25 and did not have labels with expiration dates or employee initials. The facility failed to complete and record cool down temperatures for foods prepared ahead and stored for future use, failed to ensure dishwasher sanitation temperatures were verified at the dish surface, and failed to keep the kitchen ceiling clean and free of debris and dust. The Cooling Log for 11/16/25-11/30/25 did not document cool down temperatures for roasted turkey or turkey gravy on 11/27/25, and several recorded items only showed an initial cooling time and temperature without documenting temperatures below 90 degrees F. The Dishwasher Sanitizing policy required a minimum final rinse/sanitize cycle temperature of 180 degrees F at the dish surface and daily recording of wash and rinse temperatures, but staff stated they monitored only the external reading and did not place any test strips or thermometers inside the machine to check dish surface temperatures. During the dishwasher cycle, the area filled with steam and the ceiling above the dishwasher and clean pans had bubbled tiles, light brown or gray staining, gray debris, and a gray fuzzy dust-like substance. The Dietary Manager stated dishes were removed from the dishwasher and placed on cart racks to dry below the debris-filled ceiling. The CMS Form 671 dated 12/1/25 documented 45 residents in the facility.
Inaccurate MDS Coding for Anticoagulant Use
Penalty
Summary
The facility failed to ensure an MDS assessment was accurately completed for one resident reviewed for MDS accuracy. The facility's MDS Assessment and Submission Policy states that MDS and related RAI processes are to be completed accurately and timely so assessments reflect each resident's current condition, needs, and care plan. The resident's physician's orders from admission through the current date did not include an order for an anticoagulant medication, yet the resident's MDS assessment documented that the resident was receiving an anticoagulant. On 12/3/25, the MDS Coordinator verified that the resident had not received an anticoagulant medication since admission and that the MDS assessment was coded inaccurately.
Failure to Maintain Kitchen Temperature Logs
Penalty
Summary
The facility failed to ensure safe and sanitary kitchen conditions, which could potentially lead to foodborne illnesses affecting 48 residents. During a tour of the facility's four kitchens, it was observed that the required temperature logs for dishwashers, freezers, and refrigerators were not consistently maintained. Specifically, in Kitchen 1, temperature logs were missing for 15 days in December 2024 and 14 days in January 2025. Kitchen 2 had missing logs for 2 days in January 2025. Kitchen 3 had missing logs for 6 days in December 2024, 10 days in January 2025, and 10 days in February 2025. Kitchen 4 had missing logs for 5 days in December 2024 and 1 day in January 2025. The Food Service Advisor and Dietary Manager acknowledged that the logs should have been completed three times daily as per the facility's protocol, but this was not done.
Failure to Adhere to PPE Protocols and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that required Personal Protective Equipment (PPE) was donned prior to entering the room of a COVID-19 positive resident. A Certified Nurse Assistant (CNA) entered and exited the room of a resident who was both COVID-19 and Influenza A positive, wearing only a surgical-style mask instead of the required N95 respirator. This occurred despite clear signage on the resident's door indicating the need for an N95 mask and other PPE. The CNA stated that the same PPE was used for all isolation rooms, regardless of the specific infection present. Additionally, the facility did not adhere to Enhanced Barrier Precautions for residents requiring such measures. A Certified Nurse Aid performed catheter care for a resident with an indwelling catheter, using only gloves instead of the required gown and gloves. Similarly, a Registered Nurse conducted wound care for another resident under Enhanced Barrier Precautions, also using only gloves. Both staff members later confirmed that they should have worn gowns during these procedures. These failures in infection control practices were observed during a survey and involved multiple staff members not following established protocols for PPE usage. The deficiencies were noted in the context of managing residents with COVID-19, Influenza A, and those requiring Enhanced Barrier Precautions due to indwelling medical devices or chronic wounds.
Failure to Notify State Mental Health Authority for Reevaluation
Penalty
Summary
The facility failed to notify the state mental health authority to reevaluate a resident with a significant change in mental status. The Preadmission Screening and Resident Review (PASRR) policy, which was reviewed and updated annually, did not include guidance for reevaluation when a resident experienced a significant change in condition. This oversight led to a failure in compliance with CMS regulations and state-specific PASRR guidelines. The resident in question, admitted from another Skilled Nursing Facility, had a history of unspecified dementia and later developed unspecified psychosis and anxiety disorder. Over time, the resident exhibited worsening behaviors, including physical and verbal symptoms, delusions, and paranoid thoughts. Despite these significant changes, there was no documentation of a new referral or reevaluation by the state mental health authority. The Director of Nursing acknowledged that the resident should have been reevaluated due to the change in behavior.
Lack of Justification for Antipsychotic Use in Resident
Penalty
Summary
The facility failed to provide a documented rationale or appropriate diagnosis for the use of an antipsychotic medication for one resident, identified as R101, out of five residents reviewed for unnecessary medications. R101's medical record indicated diagnoses of dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, and major depressive disorder, single episode. However, there was no documented mental health diagnosis justifying the use of Quetiapine, an antipsychotic medication, which was prescribed for depression. The resident was admitted with an order for Quetiapine 25 mg for depression, and the care plan included monitoring for side effects and effectiveness, with pharmacy reviews and recommendations to be conducted monthly. During observations conducted over several days, R101 exhibited no behaviors that would support the use of an antipsychotic medication. The resident was described as pleasant, cooperative, and denied having any psychological issues. The Director of Nursing confirmed that the diagnosis of depression was not a clinical rationale for the use of Quetiapine. Additionally, the facility pharmacist had not yet reviewed R101's medications, which contributed to the deficiency in ensuring appropriate use of psychotropic medications.
Lack of Hospice Documentation and Communication
Penalty
Summary
The facility failed to ensure that the hospice's coordinated communication and required documents were available and accessible to the facility staff, affecting one resident reviewed for hospice care management. The nursing facility's contract with the hospice provider outlined specific documentation that should be provided to the facility upon admission and ongoing, including the hospice plan of care, election form, physician certification of terminal illness, medication information, physician orders, clinical notes, and contact information for hospice personnel. However, the medical record of the resident admitted to hospice services lacked these essential documents, and there was no hospice sticker or tab in the resident's chart to indicate hospice care. Interviews with facility staff revealed a lack of awareness and access to hospice documentation. A registered nurse confirmed the absence of hospice documentation in the resident's medical record and was unaware of the hospice company providing care. Another nurse stated that the facility does not keep hospice documentation. The Director of Nursing indicated that hospice residents should have a binder with all required information available on the unit, but this was not the case for the resident in question. The deficiency highlights a breakdown in communication and documentation processes between the facility and the hospice provider.
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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 Macomb
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elms, The | 0.3 mi | ★★★★★ | 1 | 0 |
| Macomb Post Acute Care Center | 0.4 mi | ★★★★★ | 1 | 0 |
| Countryside Care Center | 1.1 mi | ★★★★★ | 21 | 0 |
| Goldwater Care Roseville | 15.2 mi | ★★★★★ | 4 | 1 |
| Rushville Nursing & Rehab Ctr | 23.3 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.