Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wesley Towers Inc during CMS and state inspections, most recent first.
Infection Control Failure With Hoyer Lift Slings: Clean Hoyer lift slings stored in the clean linen room were observed hanging on wall pegs in a way that allowed the slings and straps to touch the floor. Housekeeping staff stated this had been the usual practice for months to over a year, although later observation showed the slings placed correctly so they did not touch the floor. An admin staff member stated staff were expected to keep the slings off the floor.
PRN Psychotropic Medication Lacked Required Stop Date: A resident with anxiety, depression, gastroparesis, GERD, and nausea had a PRN clonazepam order for anxiety, but the record lacked a 14-day stop date or specific end date. The resident had intact cognition, was noted in a recliner during morning med pass, and an RN confirmed the PRN order was routinely used twice daily and had no stop date, despite the facility policy limiting PRN psychotropic use to a limited duration unless otherwise documented.
Care Plan Missing Elopement Interventions: A resident with dementia, severely impaired cognition, and an elopement risk score had a care plan that did not include an elopement section or staff instructions for prevention. The resident required supervision with ambulation and used a walker or wheelchair, and an RN verified the care plan lacked elopement interventions despite the resident being assessed as at risk for elopement.
A resident who was cognitively intact was found with uncombed hair and visible white hair stubble on her chin during observations in her room and later in the dining room. Her care plan addressed nail care but lacked further bathing details, and an ADL nurse verified that staff should shave the resident on shower days; however, after a shower, staff did not shave her face. The facility’s ADL policy required bathing as often as necessary and assistance with bathing, dressing, and shaving.
A resident with chronic respiratory failure and ascites had a physician-ordered 1500 mL/day fluid restriction, but staff did not consistently document fluid intake by shift. The MAR lacked intake amounts, the CNA documentation system had only limited entries, and nursing and dietary staff confirmed that intake was not being consistently recorded in the EMR or at meals.
Meals were served at unsafe temperatures when a dietary staff member prepared hot food and placed it on covered heated plates on an open serving cart, but the last tray delivered from the kitchen showed the roast beef and peas had cooled significantly before service. Staff stated hot food should be served at least 140 to 145 degrees F, and a resident and resident council minutes reported frequent complaints of cold food. The facility policy addressed food preparation and handling but did not include holding temperatures.
The facility failed to employ a full-time Certified Dietary Manager (CDM) for the 42 residents who received their meals from the kitchen. Dietary Staff BB, who was acting as the dietary manager, was still enrolled in a CDM course and had only completed the first module. This failure placed the residents at risk for inadequate nutrition.
A facility failed to ensure an error rate of 5% or less when a nurse did not prime insulin KwikPens before administering 36 units of Humalog and 80 units of Lantus to a resident. This resulted in a medication error rate of 6.06%, placing all residents who received insulin at risk for medication errors.
Infection Control Failure With Hoyer Lift Slings
Penalty
Summary
The facility failed to ensure adequate infection control practices related to clean Hoyer lift slings in the clean linen room. On 03/10/26 at 09:30 AM, an observation of the clean linen room showed wall pegs used to hold 14 Hoyer lift slings, but the pegs did not keep the slings or straps from lying on the floor. During an interview at 11:30 AM, Housekeeping Staff V stated the slings touching the floor in the clean laundry room had been that way since they started working at the facility. At 11:40 AM, Housekeeping Staff U stated the slings had always hung on the wall pegs and had always touched the floor since they started working there one and a half years earlier. During a second observation at 2:40 PM, the slings were placed correctly on the pegs so the slings and straps did not touch the floor. At 2:45 PM, Administrative Staff D stated she expected staff to keep the slings off the floor. The facility policy, revised in 10/25, stated the infection prevention and control program is designed to provide a safe, sanitary, and comfortable environment and that reusable items and equipment requiring special cleaning, disinfection, or sterilization shall be cleaned in accordance with current procedures.
PRN Psychotropic Medication Lacked Required Stop Date
Penalty
Summary
The facility failed to ensure Resident 2 received PRN clonazepam with a 14-day stop date or a definitive end date for use. Resident 2 had diagnoses including anxiety, depression, gastroparesis, GERD, and nausea, and the quarterly MDS documented a BIMS score of 15, indicating intact cognition. The MDS also recorded use of antianxiety and antidepressant medications. The psychotropic drug use CAA dated 10/04/25 documented that Resident 2 received psychotropic medications, that staff would monitor the resident every shift for side effects, and that the physician would be notified of abnormal findings. The care plan dated 02/17/26 documented clonazepam use for anxiety-related behaviors and sleep disturbance, with monitoring for adverse reactions such as drowsiness, confusion, and impaired thinking and judgment. The physician order dated 03/04/26 directed clonazepam 0.5 mg, one tablet, every 12 hours as needed for anxiety, but the medical record lacked documentation of a 14-day stop date or specific end date. During observation on 03/10/26, Resident 2 was seen in a recliner dressed in pajamas while morning medications were administered. On 03/11/26, Administrative Nurse D verified the PRN clonazepam order and stated the resident routinely used the medication twice daily, and also confirmed the order did not have a 14-day stop date and lacked an end date for use. The facility’s psychotropic medication policy stated PRN psychotropic medications were to be used only for a limited duration, such as 14 days, unless the prescriber documented rationale and duration for extension.
Care Plan Missing Elopement Interventions
Penalty
Summary
The facility failed to update Resident 11’s care plan to include elopement interventions. Resident 11’s EMR documented diagnoses of dementia, anxiety disorder, and psychotic disturbance. Her quarterly MDS documented a BIMS score of one, indicating severely impaired cognition, and noted that she required supervision with ambulation and used a walker or wheelchair for mobility. The elopement assessment dated 12/20/25 documented a score of five, indicating she was at risk for elopement. Resident 11’s care plan, revised 12/23/25, documented that she required supervision to substantial staff assistance with ADLs, but it lacked a section regarding elopement and instructions to staff for interventions to prevent elopement. On 03/11/26 at 11:00 AM, observation showed Resident 11 sitting in a chair by the dining room window in the front entrance hallway, eating a snack with her walker in front of her. On 03/11/26 at 08:30 AM, the Administrative Nurse verified that the care plan lacked an elopement section and that the 12/20/25 elopement assessment placed her at risk for elopement. The facility’s Comprehensive Care Plans Policy stated the comprehensive care plan would be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS assessment and significant change assessment.
Failure to Provide Personal Hygiene and Grooming Assistance
Penalty
Summary
The facility failed to provide care and services for Resident 29 related to personal hygiene and grooming. The resident’s Quarterly MDS, dated [DATE], indicated a BIMS score of 15, showing the resident was cognitively intact, and documented that the resident was independent with staff oversight for personal hygiene. The MDS also noted that a shower or bath was not attempted due to medical condition or safety concerns. The care plan, dated 01/31/26, identified ADL self-care performance deficits and directed staff to check nail length, trim and clean nails on bath days and as necessary, and report changes to the nurse, but it did not include further documentation about bathing needs.
Failure to Consistently Document Fluid Intake for Resident on Fluid Restriction
Penalty
Summary
The facility failed to consistently monitor Resident 20’s fluid intake in relation to a physician-ordered 1500 mL daily fluid restriction. Resident 20 had diagnoses of chronic respiratory failure and ascites, and her quarterly MDS documented a BIMS score of 13, indicating intact cognition. Her care plan, revised on 01/18/26, documented the 1500 mL fluid restriction, and the physician order dated 03/05/26 specified the daily limit by shift: 650 mL from 06:00 AM to 02:00 PM, 650 mL from 02:00 PM to 10:00 PM, and 200 mL from 10:00 PM to 06:00 AM. Review of the March 2026 MAR showed it lacked documentation of fluid intake amounts on each shift, and the computer documentation system used by nurse aides contained fluid intake documentation for only one shift on two days. During observation on 03/11/26, Resident 20 had a pitcher with 600 mL of water on her bedside table. A CNA stated that at the end of her shift she gave the nurse a paper with the amount the resident drank, while an LN verified the MAR lacked documentation of intake amounts and stated CNAs should document the amounts. Dietary staff stated she did not record fluid intake at meals and had been told to give the resident a 12-ounce glass of whatever fluid she requested. Administrative nursing staff also verified that staff were not consistently documenting the resident’s fluid intake in the computer system.
Meals Served at Unsafe Temperatures
Penalty
Summary
The facility failed to ensure staff served meals at safe and appetizing temperatures. During observation, Dietary Staff DD prepared six servings of cooked roast beef, mashed potatoes with brown gravy, and peas, then placed the hot food onto covered heated plates on an open serving cart. When the last meal tray was delivered from the kitchen, the roast beef temperature had dropped to 122 degrees F and the peas to 132 degrees F, while the food had initially been measured at 171 degrees F for roast beef, 152 degrees F for mashed potatoes and gravy, and 158 degrees F for peas. During interview, Dietary Staff DD stated he expected hot cooked food items to be around 145 degrees F, and Staff CC stated hot food should be at least 145 degrees F before being served. Dietary Staff BB stated hot food should be served at appropriate temperatures and not below 140 degrees F. A resident reported the food was cold most of the time, and resident council meeting minutes documented complaints of cold food from 19 residents. The facility's Food Preparation and Handling policy required food to be prepared using methods designed to preserve flavor and safety, but it did not include holding temperatures for food.
Failure to Employ Full-Time Certified Dietary Manager
Penalty
Summary
The facility failed to employ a full-time Certified Dietary Manager (CDM) for the 42 residents who resided in the facility and received their meals from the kitchen. On 05/06/24 at 12:06 PM, an observation revealed dietary staff preparing meals for the midday meal. Dietary Staff BB reported she was the dietary manager and was enrolled in a Certified Dietary Manager course. DS BB reported she worked under the supervision of a registered dietician and had completed the first module of the training. The facility's Certified Dietary Manager Job Summary, dated 03/2024, documented that the CDM is responsible for providing quality nutritional care to the residents according to facility policy and procedures and federal and state regulations. The qualifications require successful completion of the Certified Dietary Manager exam following the approved training program, certification as a Certified Food Protection Professional preferred, and prior experience in healthcare food service also preferred. The facility's failure to employ a full-time Certified Dietary Manager placed the residents at risk for inadequate nutrition.
Failure to Prime Insulin Pens Leads to Medication Error
Penalty
Summary
The facility failed to ensure an error rate of five percent or less when staff did not prime insulin KwikPens before administration to a resident. During a medication administration observation, a Licensed Nurse (LN) administered 36 units of Humalog and 80 units of Lantus insulin to a resident without priming the pens. The LN confirmed that it was not the facility's policy to prime insulin KwikPens prior to administration, which contradicts the instructions provided by the manufacturers of Humalog and Lantus KwikPens. The facility's policy on medication administration procedures, revised in April 2020, instructed staff to administer medications in a safe, accurate, and effective manner. However, the failure to prime the insulin pens resulted in a medication error rate of 6.06%, exceeding the acceptable threshold of 5%. This practice placed all residents who received insulin at risk for medication errors. The Administrative Nurse later stated that she expected the nurse to prime the insulin pens before administration, indicating a discrepancy between the facility's practice and its stated policies.
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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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| Good Samaritan - Hutchinson Village | 1.6 mi | ★★★★★ | 17 | 0 |
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| Diversicare Of Hutchinson | 2.2 mi | ★★★★★ | 1 | 0 |
| Mennonite Friendship Communities Inc | 4.6 mi | ★★★★★ | 0 | 0 |
| Buhler Sunshine Home | 9.4 mi | ★★★★★ | 0 | 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 August 2026) and official state health department websites.