Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Wynscape Health & Rehab during CMS and state inspections, most recent first.
Expired medications were found in the med storage room and on a med cart, including several residents’ pills past expiration and an insulin pen without a clear opened-on or expiration date. Staff stated expired meds should not be stored in the cart or storage room, that insulin pens require labeling with the opened-on and expiration dates, and that mixed tablets with different expiration dates should not be kept together.
Medication administration errors exceeded the allowed rate after an RN failed to follow ordered directions for two residents. One resident received a Breyna inhaler without being instructed to rinse and spit afterward, and ordered Metformin was not administered because staff believed it was part of a combination product. Another resident’s insulin pen was primed with only one unit before a 5-unit dose was given. Staff later stated the inhaler required rinsing and spitting and that insulin pens should be primed with more units to remove bubbles.
Failure to follow infection control practices for two residents. A scheduler entered a resident’s contact isolation room twice without hand hygiene or PPE while passing trays and handling the resident’s belongings, and a CNA later delivered meals to that resident and another resident on EBP without performing required hand hygiene before or after care or after removing PPE. The DON stated staff should perform hand hygiene before and after care and before and after applying and removing PPE.
A resident with dementia and other health issues was injured during an unsafe transfer using a mechanical lift device. The facility's policy required a two-person assist for such transfers, but a CNA transferred the resident alone, resulting in a cut and bruise around the resident's eye. The incident was documented, and staff interviews confirmed the policy violation.
The facility failed to discard expired food items and store food items in the freezer safely, affecting all 47 residents consuming food from the kitchen. Expired grits and sherbet dessert were found, along with ice buildup on food boxes, the freezer ceiling, and floor. The Dietary Manager and Assistant Cook acknowledged the issues, stating that everyone is responsible for checking for expired labels and discarding expired food items.
Expired medications and unlabeled insulin pen found in storage and cart
Penalty
Summary
The facility failed to remove expired medications from both the medication storage room and a medication cart. During observation, interview, and record review, expired medications were found for 6 of 6 residents reviewed for medication storage in a sample of 18. In the medication storage room, R25’s Metoprolol Tartrate 50 mg expired 12/31/24 with 30 pills remaining, R25’s Flecainide Acetate 50 mg expired 3/11/25 with 30 pills remaining, and R24’s Phenazopyridine 100 mg expired 2/4/25 with 15 pills remaining. R25’s face sheet listed diagnoses including cerebral infarction, paroxysmal atrial fibrillation, and cerebrovascular disease, and R24’s face sheet listed pain in left leg and generalized pain; R24’s POS included phenazopyridine 100 mg as needed three times daily starting 2/3/24. On the medication cart, R6’s Novolog insulin pen did not have a clear opened-on date or expiration date, and R6’s face sheet listed type 2 diabetes mellitus. R43’s Benzonatate 200 mg expired 1/4/25 with 10 pills remaining, R14’s Ondansetron HCl 4 mg included four tablets expired 3/1/25 mixed in the same box with three tablets expired 2/2024, and R5’s Hydralazine 50 mg expired 4/11/24 with 33 pills remaining and Gabapentin 100 mg included 42 pills dated 10/19/24 and three pills dated 2/23/24. R43’s diagnoses included congestive heart failure, hypothyroidism, and dementia; R14’s included congestive heart failure, dizziness and giddiness, and GERD; and R5’s included hypertensive heart disease, heart failure, low back pain, osteoarthritis, and hypertension. Staff stated expired medications should be returned to the pharmacy, that insulin pens needed an opened-on date and expiration date, and that expired medications should not be stored in the cart or mixed in the same box.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
Medication administration errors resulted in an 8.57% error rate, exceeding the 5% threshold, after 3 errors were identified in 35 opportunities involving 2 residents. One resident with diagnoses including type 2 diabetes mellitus and wheezing was observed receiving a Breyna inhaler dose. The RN administered one puff and held the inhaler in the resident’s mouth for 10 seconds, but did not instruct the resident to rinse the mouth with water and spit afterward as directed on the medication packaging. The RN also did not administer the resident’s ordered Metformin 850 mg. The resident’s POS showed an order for pioglitazone 15 mg/Metformin 850 mg twice daily, but the medication cart did not contain Metformin HCL 850 mg tablets, and the ADON stated the tablets were found in the medication room because staff likely thought the medication was two boxes of the same drug. A second resident with type 2 diabetes mellitus was observed receiving Novolin insulin pen medication. The RN primed the pen with one unit and then administered 5 units, while staff interviewed later stated insulin pens needed to be primed with at least two units, and the DON stated they needed to be primed with 5 to 10 units to remove bubbles. Staff also stated that after Breyna inhaler administration, the resident should rinse the mouth and spit the water out, and that the pioglitazone and metformin order represented two separate pills rather than a combination drug. The facility policy stated medications are to be administered according to prescriber orders and the label is to be checked three times to verify the right resident, medication, dosage, time, and route.
Failure to Follow Contact Isolation and Hand Hygiene Practices
Penalty
Summary
The facility failed to follow infection control practices to prevent the spread of infection for two residents reviewed for infection control. One resident, who had diagnoses including congestive heart failure, cognitive communication, and a UTI, had contact isolation precautions ordered for ESBL in urine. On 8/19/25, a scheduler passed lunch trays to this resident and entered the room twice without performing hand hygiene or wearing PPE, despite isolation signage on the door and an isolation cart with gowns, gloves, and face masks outside the room. The scheduler set the tray on the bedside table, moved the resident’s belongings, rolled the tray table into place, left the room to get creamer, and then re-entered without hand hygiene or PPE before handing the creamer to the resident and removing the lid from the tray. On 8/20/25, a CNA entered the same resident’s contact isolation room wearing PPE, assisted with repositioning items on the overbed table, and delivered the meal tray, then removed PPE and exited without hand hygiene. The CNA later re-entered the room after putting on a new surgical mask, exited again, and used hand sanitizer. The CNA then delivered another resident’s meal tray while wearing a gown, face shield, and gloves but did not perform hand hygiene before or after care or after removing PPE. That second resident was on enhanced barrier precautions related to a wound. The CNA stated he was required to perform hand hygiene before and after removing PPE and acknowledged missed opportunities. The DON stated staff entering and exiting resident rooms should perform hand hygiene before and after care and before and after applying and removing PPE, and that touching the clean PPE cart with soiled hands contaminates the cart and increases the spread of infections.
Unsafe Transfer Leads to Resident Injury
Penalty
Summary
The facility failed to provide a safe transfer for a resident using a mechanical transfer total lift device, resulting in an injury. The resident, who has a history of dementia, chronic obstructive pulmonary disease, and other conditions, required maximum assistance for activities of daily living and was dependent on staff for transfers. According to the care plan, the resident needed a mechanical transfer total lift device with a two-person assist for transfers between bed and wheelchair. However, on October 26, 2024, a CNA improperly transferred the resident alone, contrary to the facility's policy, leading to a cut and bruise around the resident's right eye. The incident was documented in the facility's report, which noted the injury occurred during an unsafe transfer. Interviews with staff revealed that the CNA admitted to transferring the resident without assistance, violating the facility's policy that mandates at least two staff members for such transfers. The resident's injury was discovered the following morning, and there were no reports of falls or other incidents during the night. The facility's policy on using mechanical lifting devices, dated March 2024, clearly states the requirement for two nursing assistants or nurses to safely move a resident, which was not adhered to in this case.
Expired Food and Unsafe Storage in Freezer
Penalty
Summary
The facility failed to discard expired food items and store food items in the freezer safely, affecting all 47 residents consuming food from the kitchen. During an initial kitchen tour, it was observed that the kitchen dry storage contained five pounds of grits that had expired. Additionally, the freezer had ice formed on food-containing boxes, including a box of Canadian bacon and a nine-pound box of pita pockets, and the boxes were soiled. Ice was also built up on the freezer ceiling and floor. An aluminum tray with a sherbet dessert that had expired was also found in the freezer. The Dietary Manager and Assistant Cook acknowledged the presence of expired food and the ice buildup, stating that everyone is responsible for checking for expired labels and that the dietary staff should have discarded the expired food items. The facility's policy on Sanitation and Food Safety states that food products are to be used by their expiration date and discarded if not used by then.
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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 Wheaton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dupage Care Center | 0.2 mi | ★★★★★ | 13 | 0 |
| Ahva Care Of Winfield | 0.6 mi | ★★★★★ | 0 | 0 |
| Wheaton Village Nrsg & Rhb Ctr | 0.9 mi | ★★★★★ | 2 | 0 |
| Covenant Living - Windsor Park | 2.8 mi | ★★★★★ | 0 | 0 |
| West Chicago Living And Rehab Center | 3.3 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 July 2026) and official state health department websites.