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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Botkin Care And Rehab during CMS and state inspections, most recent first.
The facility failed to update care plans for several residents, leading to deficiencies in infection control and medication management. A resident with an indwelling urinary catheter lacked Enhanced Barrier Precautions (EBP) in their care plan, and there was no signage indicating the need for EBP. Another resident with dementia and a stage III pressure ulcer had no instructions for antianxiety medication use or EBP signage. Additionally, a resident using a wheelchair had no care plan instructions for staff assistance or footrest use. These issues were confirmed by an administrative nurse.
A facility failed to ensure safe transportation for a resident by not using footrests on her wheelchair, contrary to policy. Another resident, with a history of falls and cognitive impairment, did not have care-planned fall interventions consistently implemented, such as non-slip strips and a fall mat. Staff were unaware of the care plan details, leading to inadequate fall prevention measures.
The facility failed to maintain an effective infection control program, with improper cleaning of oxygen concentrators and non-adherence to Enhanced Barrier Precautions (EBP). Observations showed dust accumulation on oxygen equipment and staff not wearing required PPE for residents with wounds or medical devices. Staff interviews revealed confusion about EBP protocols, indicating inconsistent implementation.
Care Plan Deficiencies in Infection Control and Medication Management
Penalty
Summary
The facility failed to review and revise care plans for several residents, leading to deficiencies in infection control and medication management. Resident 9, who had an indwelling urinary catheter, did not have Enhanced Barrier Precautions (EBP) included in their care plan, and there was no signage indicating the need for EBP in their room. This oversight was confirmed by Administrative Nurse D, who acknowledged that the care plan had not been updated to include these precautions. Resident 17, diagnosed with dementia and having a stage III pressure ulcer, also had deficiencies in their care plan. The care plan lacked instructions for the use of antianxiety medication, despite a physician's order for Lorazepam, which was administered on three occasions. Additionally, there was no EBP signage related to the resident's pressure ulcer, and Administrative Nurse D confirmed the care plan had not been updated to address these needs. Resident 18, who used a wheelchair for mobility, had a care plan that did not include instructions for staff assistance with wheelchair propulsion or the use of footrests. This omission was noted by Administrative Nurse D, who confirmed the care plan had not been revised to include these instructions. Similarly, Resident 30, with an indwelling urinary catheter, lacked EBP in their care plan, and there was no signage indicating the need for such precautions. These deficiencies highlight the facility's failure to periodically review and update care plans as required by their policy.
Deficiencies in Resident Safety and Fall Prevention
Penalty
Summary
The facility failed to provide safe transportation for a resident, identified as R18, by not utilizing footrests while propelling her in a wheelchair. R18, who had a diagnosis of dementia and severe cognitive impairment, used a wheelchair for mobility with substantial to maximal staff assistance. Observations revealed that staff members propelled R18 in her wheelchair without footrests, causing her non-skid socks to skim the floor. Despite the facility's policy requiring footrests to prevent accidents, staff did not consistently use them, citing the resident's occasional ability to self-propel as a reason. Additionally, the facility failed to ensure that care-planned fall interventions were in place for another resident, identified as R19. R19 had a history of falls, dementia, and impaired cognitive function, requiring assistance for mobility and daily activities. The care plan included several fall prevention measures, such as non-slip strips and a fall mat, but these were not consistently implemented. Observations showed that R19's room lacked non-slip strips and a fall mat, and she was seen propelling herself in a wheelchair without these interventions in place. Interviews with staff revealed a lack of awareness and adherence to the care plan interventions for R19. The care plan did not accurately reflect the resident's use of a wheelchair when experiencing pain or weakness, and staff were unsure about the status of certain interventions, such as the fall mat. The facility's policy required the interdisciplinary team to review and update care plans periodically, but this was not effectively done, leading to a failure in implementing necessary fall prevention measures for R19.
Infection Control Deficiencies in Oxygen Equipment Maintenance and EBP Adherence
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by improper cleaning and maintenance of oxygen concentrators and failure to adhere to Enhanced Barrier Precautions (EBP). Observations revealed that the oxygen concentrators for two residents were not cleaned properly, with heavy dust and debris accumulation on the vents and filters. Additionally, a nebulizer face mask was found with dried debris and was not stored properly. Interviews with staff indicated a lack of consistent cleaning protocols for these devices, and there was no facility policy for the care and upkeep of oxygen concentrators. The facility also failed to implement EBP correctly, as staff did not wear the required personal protective equipment (PPE) when caring for residents with wounds or indwelling medical devices. Observations showed that staff entered rooms without gowns, and there were no EBP instructions posted for staff. Interviews with staff revealed confusion and lack of awareness about EBP requirements, indicating that these precautions were not consistently followed until recently. The facility's policy required the use of gowns and gloves for high-contact care activities, but this was not adhered to, leading to potential cross-contamination risks.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 72 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wellington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wellington Health And Rehab | 1.4 mi | ★★★★★ | 16 | 0 |
| Anew Healthcare Oxford | 12.9 mi | — | 0 | 0 |
| Spring View Manor Healthcare And Rehabilitation | 16.4 mi | ★★★★★ | 14 | 0 |
| Villa Maria | 17.6 mi | ★★★★★ | 0 | 0 |
| Clearwater Nursing & Rehabilitation Center | 18.5 mi | ★★★★★ | 23 | 2 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.