Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Wakefield Care And Rehab during CMS and state inspections, most recent first.
Kitchen Food Storage and Sanitation Deficiencies: A kitchen refrigerator contained unlabeled, undated food items, and a refrigerator in the dry storage room also had unlabeled, undated sliced ham and no backup thermometer. The CDM verified that food should be labeled and dated before refrigeration and that a backup thermometer should be present. In addition, pipes under the dishwasher-area sink had brownish stains and 13 ceiling AC vents had a gray fuzzy substance; the CDM stated kitchen staff were responsible for cleaning them.
Failure to Provide Bed Hold Policy After Hospital Transfer: A resident with COPD and moderately impaired cognition was transferred to the hospital, but the clinical record lacked evidence that the resident or her representative was notified of the bed hold policy. Interviews with the SSD and Administrative Nurse confirmed that staff were responsible for providing the policy at the time of transfer, and the facility could not produce the bed-hold policy upon request.
A resident receiving hospice care had a care plan that listed the hospice provider and directed staff to follow symptom-control orders, but it did not include specifics for hospice staff delegation, visit frequency, medications, medical equipment, or personal hygiene supplies. The resident had severe cognitive impairment, delusions, dependence on staff, Parkinson's disease, vascular dementia, heart failure, and fractures with delayed healing; staff reported hospice medication coverage and that hospice nursing visits were typically twice weekly, or daily if actively dying, but the facility did not have a list of hospice-furnished supplies.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one kitchen. On 09/09/25 at 09:00 AM, observation in the kitchen revealed a three-door refrigerator with an unlabeled, undated container of steak fry casserole and an unlabeled, undated plastic bag containing salad and cheese. A three-door refrigerator in the dry storage room also had an unlabeled, undated plastic bag with sliced ham and did not have a backup thermometer. At 11:15 AM, the Certified Dietary Manager verified these observations and stated there should be a backup thermometer in the dry storage refrigerator and that staff should label and date all food items before placing them in the refrigerators. On 09/10/25 at 11:30 AM, observation in the kitchen revealed the pipes underneath the sink in the dishwasher area, where dirty dishes enter the dishwasher, had numerous different-sized brownish stains. The 13 vents underneath the ceiling air conditioner had a gray fuzzy substance in them. At 11:35 AM, the Certified Dietary Manager verified these findings and stated kitchen staff were responsible for cleaning them. The Kitchen Cleaning Schedule listed daily, weekly, and monthly tasks, and the facility's Sanitation Policy stated all kitchen, kitchen areas, and dining areas shall be kept clean and free from rubbish. The facility's Food Safety Policy stated all foods stored in the refrigerator or freezer would be covered, labeled, and dated.
Failure to Provide Bed Hold Policy After Hospital Transfer
Penalty
Summary
The facility failed to provide the resident or her representative with the bed hold policy when a resident was transferred to the hospital. The resident had a diagnosis of COPD, a Quarterly MDS dated [DATE] that documented a BIMS score of 11 indicating moderately impaired cognition, and required varying levels of staff assistance with dressing, hygiene, toileting, ambulation, and other activities of daily living. Her care plan, revised 08/13/25, documented COPD-related interventions, including medication and breathing treatments as ordered, education on quitting smoking, encouragement to comply with fluid restriction and diet, and reminders to keep oxygen tubing and a nebulizer mask bagged. The resident’s progress notes documented that she was transferred to the hospital on 07/31/25 at 05:09 AM. The clinical record lacked evidence that either the resident or her representative was notified of the bed hold policy. During interview, the Social Service Designee stated that the nurse on duty is responsible for notifying the resident or representative of the bed hold policy when residents are transferred to the hospital, and the Administrative Nurse stated the nurse was responsible for providing the bed-hold policy unless it was an emergency, in which case the SSD should follow up. Upon request, the facility did not provide a bed-hold policy.
Hospice care plan lacked required service and supply details
Penalty
Summary
The facility failed to include hospice service visit frequency, medications, medical equipment, and preferences in the care plan for a resident receiving hospice services. The resident had multiple diagnoses documented in the EMR, including cerebral infarction, shortness of breath, anxiety disorder, major depressive disorder, low back pain, demoralization, adjustment disorder, vascular dementia, cardiomegaly, Parkinson's disease, and fractures of the upper right humerus and right femur with delayed healing. The Significant Change MDS documented severe cognitive impairment, delusions, dependence on staff for functional abilities, scheduled and as-needed pain medication, non-medication interventions for moderate pain, and that the resident had a condition that may result in a life expectancy of less than six months and received hospice care. The Psychosocial Well-Being CAA documented that the resident received hospice service, had a broken hip that was not healing, was not a candidate for surgical intervention due to heart failure, and had nutritional needs that were not being met because of skipped meals and minimal intake. The care plan identified hospice for Parkinson's disease and delayed healing of the right femur fracture and listed the hospice provider name and phone number, but it lacked specifics about delegation of hospice staff services, visit frequency, medications, medical equipment, and personal hygiene supplies. Staff interviews indicated the hospice nurse would visit twice weekly unless the resident was actively dying, when visits would be daily, and that the facility provided incontinence products and personal care, but staff did not have a list of supplies furnished by hospice.
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What surveyors actually found near you
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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 Wakefield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clay Center Presbyterian Manor | 12.6 mi | ★★★★★ | 0 | 0 |
| Leonardville Nursing Home | 13.3 mi | ★★★★★ | 0 | 0 |
| Advena Living Of Clay Center | 13.4 mi | — | 0 | 0 |
| Chapman Valley Manor | 16.3 mi | ★★★★★ | 0 | 0 |
| Tallgrass Healthcare Campus | 16.3 mi | ★★★★★ | 8 | 1 |
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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.