Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Manor during CMS and state inspections, most recent first.
Resident council grievances were not acted upon for two residents who reported missing clothing items, including socks and pajama pants, and no follow-up was done to recover the items. Six residents interviewed did not know how to file a grievance or identify the staff member responsible for handling grievances from resident council meetings. The DSS was identified as the grievance official, while the DON and Administrator stated unresolved complaints should be investigated, documented, and communicated back to the resident.
Failure to Follow Wound Care Orders: A resident with dementia, fragile skin, and diabetes had physician orders for a skin tear on the R arm and a surgical wound on the L heel. Staff used the wrong dressing on the arm, attempted repeated removal that caused bleeding, and changed the dressing daily despite the order to leave it in place until it fell off. Staff also omitted the ordered foam dressing for the heel wound before wrapping it with gauze.
Infection prevention and control failures occurred when a CMA administered eye drops to a resident with glaucoma and dry eye syndrome without wearing gloves and used an ungloved hand to hold the resident’s eye open. In a separate event, an RN performing wound care for a resident with dementia, skin issues, and a diabetic foot ulcer changed gloves multiple times but did not perform hand hygiene between glove changes, stating she was allergic to ABHR.
Resident Council Grievances Not Addressed
Penalty
Summary
The facility failed to ensure resident council grievances were acted upon for two residents who attended resident council meetings. Review of resident council meeting minutes showed that a resident had lost a pair of pajama pants and that one resident's family member reported missing socks. Two residents, both cognitively intact based on BIMS scores of 14/15 and 15/15, stated they had reported missing or lost clothing items to staff, including one resident whose family member reported 10 missing pairs of socks. The residents stated no one followed up with them about the missing items, and the items were not recovered. During the resident council interview, six of six residents stated they did not know how to file a grievance and did not know which staff person was responsible for responding to grievances from resident council meetings. The facility's grievance policy stated residents could address dissatisfaction and seek resolution without reprisal. The DSS stated she was the grievance official, that the SSA attended resident council meetings and was to inform her of concerns or complaints, and that the Director of Activities sent meeting minutes to her for review. The DON stated unresolved complaints should result in a grievance form, investigation, documentation of resolution, and resident notification, while the Administrator stated concerns from resident council should prompt notification to social services, investigation, documentation, and resident notification; he also stated residents should know who the grievance official was and how to file a grievance.
Failure to Follow Wound Care Orders
Penalty
Summary
The facility failed to follow physician orders for one resident with dementia, skin disease, type II diabetes mellitus with foot ulcer, and moderate cognitive impairment. The resident had a care plan identifying fragile skin and risk for skin breakdown. An order for a skin tear to the right antecubital area directed staff to cleanse with normal saline, pat dry, apply bacitracin, cover with a Tegaderm dressing, check daily for infection, and allow the dressing to fall off on its own, replacing it as needed every day shift until healed. During observation, blood was seen on the dressing to the resident’s right elbow area, and the resident stated the areas were related to a bandage. Staff interviews revealed nurses had attempted multiple ways to remove the bandage, including soaking it with normal saline and baby soap, and the dressing was tightly stuck to the skin. One RN stated she had been changing the dressing daily and had not seen the order to leave the dressing on until it fell off. She also stated that when she returned to work, the dressing on the right upper extremity was a bordered gauze dressing rather than the ordered Tegaderm, and removal attempts caused the arm to bleed. The resident also had an active order for a surgical wound to the left heel to be cleansed with normal saline, pat dry, apply skin prep, cover with a foam dressing, and wrap with Kerlix. During observation, an RN cleansed the wound, patted it dry, applied skin prep, and wrapped the foot with gauze, but did not apply the ordered foam dressing before wrapping the area. The RN confirmed the foam dressing was omitted. The DON stated nurses were trained to read orders before administering treatments, and the facility president referred expectations for wound care and following physician orders to the DON.
Infection Prevention and Control Failures During Eye Drop Administration and Wound Care
Penalty
Summary
The facility failed to ensure gloves were worn during administration of eye drops to one resident with a history of unspecified glaucoma and dry eye syndrome. The resident’s MAR included an order for Refresh Liquigel ophthalmic gel, one drop in both eyes four times daily for dry eyes. During observation, a CMA administered the eye drops without donning gloves, used her ungloved left hand to hold the resident’s eye open, and gave the medication with her right hand. The CMA stated she had been taught to wear gloves when administering eye drops but forgot because she was nervous during the observation. The DON later stated the CMA should have worn gloves before administering the eye drops, and the facility President said he referred to the DON for expectations regarding PPE use. The facility also failed to ensure hand hygiene was performed as indicated during wound care for a resident with dementia, a skin and subcutaneous tissue disorder, and type II diabetes mellitus with foot ulcer. The resident’s care plan included enhanced barrier precautions for wound care, and the active order directed cleansing the left heel, applying skin prep, covering with a foam dressing, and wrapping with Kerlix. During observation, an RN performed hand hygiene, donned gloves and a gown, and changed gloves multiple times while preparing the resident and performing wound care, but was not observed to perform hand hygiene between glove changes. The RN confirmed she did not perform hand hygiene between glove changes and stated she failed to do so because she was allergic to alcohol-based hand rub.
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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 Louisville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Nursing And Rehabilitation Center | 0.4 mi | ★★★★★ | 1 | 0 |
| Franciscan Health Care Center | 3.2 mi | ★★★★★ | 11 | 0 |
| Klondike Nursing And Rehabilitation Center | 6.4 mi | ★★★★★ | 2 | 0 |
| Glen Ridge Health Campus | 6.8 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of South Louisville | 6.8 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.