Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 August Healthcare At Wilmington during CMS and state inspections, most recent first.
A resident with obstructive sleep apnea was admitted with a personal CPAP machine, but staff did not obtain necessary pulmonologist orders for its use or settings. Despite awareness of the need for orders and the resident’s history of consistent CPAP use, the facility made only minimal attempts to contact the pulmonologist, resulting in the resident not receiving CPAP therapy during the stay.
A resident with a history of glaucoma and significant visual impairment was incorrectly coded as having adequate vision on the MDS assessment. The staff member responsible for the assessment did not review the resident's medical history or complete the care area assessment, resulting in the omission of the resident's vision needs from the documentation.
Two residents with a history of falls and major injuries did not have fall mats placed at their bedsides as required by their care plans. Despite documented interventions following serious fall-related injuries, observations and staff interviews revealed that fall mats were not present and staff were unaware of the care plan requirements.
Nursing staff failed to follow infection control protocols during care activities, including not wearing required PPE and not changing gloves when indicated, while providing care to a resident with a PICC line and another on Enhanced Barrier Precautions for MRSA. Employee records lacked evidence of competency checks or infection control training for the involved staff, and there was no system in place to track or verify required training and competencies.
Staff failed to follow Enhanced Barrier Precautions (EBP) during high-contact care activities for residents with invasive devices and wounds. A nurse provided PICC line care without a gown and did not change gloves after touching bedside items, while two nursing assistants repositioned a resident with a gastrostomy tube and MRSA-positive wound without using gloves or gowns. Staff interviews revealed confusion about EBP requirements, and leadership acknowledged inconsistent application of precautions and lack of clear signage.
The facility failed to accurately code MDS assessments for five residents in areas such as Hospice services, respiratory care, weight changes, medication use, and hearing impairment. Errors were confirmed through interviews with the MDS Coordinator, DON, and Administrator.
The facility failed to obtain and record accurate weights per physician order and verify the accuracy of a resident with significant weight changes. Another resident experienced issues with weight monitoring and nutritional supplementation, with inconsistencies in recorded weights and missed supplements. Staff interviews revealed systemic issues in the process of obtaining and recording weights, and a performance improvement plan had been initiated but not fully implemented.
A resident received 16 additional doses of Clindamycin and 15 additional doses of Oxycodone due to a failure to discontinue the medications as ordered. The error was acknowledged by the nurse who entered the orders and confirmed by the Physician Assistant. The DON was unaware of the issue and expected staff to follow the hospital discharge summary.
The facility failed to air dry kitchenware before stacking them in storage and did not ensure refrigerated meat items were dated and sealed. Wet tray pans were observed stacked on a storage rack, and a bag of sliced sandwich ham in the reach-in refrigerator was found not sealed or dated. The Dietary Manager acknowledged the issues and the Administrator confirmed the expectation for staff to follow regulatory guidelines.
The facility's QAPI program failed to maintain procedures and monitor interventions, resulting in six deficiencies, including issues with the environment, resident assessments, catheter care, nurse staffing information, and medication errors. Specific problems included torn floor linoleum, black greenish substance on commode base caulking, broken cabinet doors, leaking commode bases, and strong odors. The facility also failed to accurately code MDS assessments, use clean washcloths for catheter care, post accurate nurse staffing information, and maintain a medication error rate of less than 5%. Significant medication errors included missed doses and incorrect administration, leading to adverse outcomes for residents.
The facility failed to maintain a safe, clean, and homelike environment, with issues such as torn linoleum, leaking commodes, broken fixtures, and a persistent strong odor of urine and feces in the 500 and 600 halls. Residents and staff reported these problems, but the facility struggled to keep up with necessary repairs and odor management.
The facility failed to administer medications as prescribed, including missing doses of antihypertensive and antibiotic medications, and not checking blood pressure before administering medications with specific parameters. Additionally, a resident received extra doses of an antibiotic and an opioid due to a failure to discontinue the orders as specified.
A resident with a stage-4 sacral ulcer and an indwelling urinary catheter did not receive proper catheter care. An NA used the same washcloth and water for the resident's upper body and genital area, contrary to training. The DON and Administrator confirmed the correct procedure was not followed.
A resident with severe cognitive impairment and a feeding tube had their syringe and plunger improperly stored together with visible liquid, contrary to expected protocols, as confirmed by staff interviews and observations.
The facility failed to maintain a medication error rate of less than 5%, with a reported error rate of 12%. A resident was administered medications that should have been discontinued, and another resident received a medication at the wrong time. The errors were due to discrepancies in the Medication Administration Record (MAR) and staff being unaware of the correct orders.
The facility failed to post accurate nurse staffing information for 18 days and did not complete a Daily Staffing Form on one day. Discrepancies were found between the staff posting sheets and the actual nursing staff present. The Scheduler admitted that postings were not adjusted when staffing changed, especially after she left or on weekends. The Human Resources Manager attributed low weekend staffing reports to agency staff not punching the time clock. The Administrator expected accurate postings daily and confirmed the facility did not work short-staffed on weekends.
The facility failed to provide written notification of discharge or transfer to a resident and their RP for a hospitalization event. The resident, who was cognitively intact, was transferred to the hospital without documented written notice. Interviews revealed that staff were unaware of the requirement for written notification.
Failure to Obtain Orders for CPAP Use and Settings
Penalty
Summary
The facility failed to obtain appropriate physician orders for the use and settings of a CPAP machine for a resident with a diagnosis of obstructive sleep apnea. Upon admission, the resident brought a personal CPAP machine, but there were no orders from the hospital or admitting physician for its use or settings. Nursing documentation indicated awareness of the need for an order, and the resident reported not using the CPAP because it was not accessible or permitted without an order. The care plan addressed the resident’s respiratory status but did not include interventions for CPAP use. Attempts to obtain the necessary CPAP settings from the resident’s pulmonologist were minimal, with the Unit Manager making only one attempt to contact the pulmonologist and not following up further. The physician confirmed that settings needed to be ordered by a pulmonologist and that the resident was aware of his own settings, but facility policy required confirmation from a specialist. The resident and family both reported that the CPAP had been used consistently prior to admission, but during the facility stay, the machine was not used due to lack of orders. Throughout the resident’s stay, there was no documentation of CPAP use, and staff interviews confirmed that the absence of orders prevented its use. The resident was later discharged to the hospital for an unrelated acute kidney injury, but the deficiency centered on the facility’s failure to secure timely and appropriate orders for the resident’s CPAP therapy, resulting in the resident not receiving prescribed respiratory support during the stay.
Inaccurate MDS Coding for Vision Impairment
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment in the area of vision for a resident with a diagnosis of glaucoma and a history of visual impairment. The resident was admitted with a diagnosis of glaucoma and reported being nearly blind, requiring all lights on in his room to see. Despite this, the MDS admission assessment coded the resident as having adequate vision, and the Social Worker Assistant who completed the assessment stated he was not aware of the resident's blindness at the time. The Social Worker Assistant also did not review the resident's diagnoses or past history and did not complete the care area assessment, which had triggered a care plan for vision. Interviews revealed that the Social Worker Assistant later acknowledged the resident had shared information about his visual impairment and admitted the vision section of the MDS should have been coded as impaired. The Administrator confirmed that accurate MDS coding is expected to ensure staff are aware of residents' care needs. The deficiency was identified through observations, record review, and interviews, which demonstrated a lack of accurate assessment and documentation of the resident's vision status.
Failure to Implement Care Planned Fall Interventions
Penalty
Summary
The facility failed to implement care plan interventions for two residents with a history of falls and major injuries by not placing fall mats at their bedsides as specified in their care plans. For one resident with Alzheimer's disease, muscle weakness, and right-sided hemiplegia, the care plan was revised to include a fall mat after the resident sustained a femur fracture from an unwitnessed fall. Despite this intervention being documented, observations revealed that no fall mat was present at the bedside, and staff interviews confirmed a lack of awareness regarding the requirement for a fall mat. Similarly, another resident with altered mental status, a history of falls, and a subdural bleed had a care plan intervention for a fall mat following a fall resulting in a hip hematoma and brain hemorrhage. Observations on multiple occasions showed that no fall mat was present in the resident's room. Staff members, including nurse aides and nurses, were unaware of the care plan intervention and had not seen a fall mat in the room, despite having access to care cards and care plans that documented this requirement. In both cases, the deficiency was identified through observations, record reviews, and staff interviews, which consistently demonstrated that the care planned intervention of placing fall mats was not implemented. The Director of Nursing confirmed that fall interventions were discussed in meetings and that fall mats should have been placed according to the care plans, but could not explain why the interventions were missed.
Failure to Ensure Staff Competency in Infection Control Procedures
Penalty
Summary
The facility failed to ensure that nurses and nurse aides possessed and demonstrated the necessary competencies in infection control procedures required to meet residents' needs. Specifically, a registered nurse did not wear a gown and failed to change gloves after touching items in the resident's environment while providing care to a resident with a peripherally inserted central catheter (PICC) line. Additionally, two nursing assistants repositioned a resident on Enhanced Barrier Precautions, who had a gastrostomy tube and a wound positive for MRSA, without donning the required personal protective equipment (PPE) such as gowns and gloves. These lapses were observed during direct care activities and involved all three staff members reviewed for infection control practices. Review of employee records revealed that there was no documented evidence of competency checks or infection control in-service education for the involved staff members. Sign-in sheets for mandatory infection control education did not include signatures from the nurse and nursing assistants involved in the observed deficiencies. Interviews with the Infection Preventionist and the Director of Nursing confirmed that there was no clear system in place to track completion of required training or to verify staff competencies, particularly regarding PICC line care and adherence to infection control protocols during resident care.
Failure to Implement Enhanced Barrier Precautions During High-Risk Resident Care
Penalty
Summary
The facility failed to implement its infection control policy and procedures for Enhanced Barrier Precautions (EBP) during direct care activities for residents with high-risk conditions. In one instance, a nurse provided care to a resident with a peripherally inserted central catheter (PICC) line by donning gloves but not a gown, and did not change gloves after touching items on the bedside table before proceeding with intravenous care. The nurse was unaware that a gown was required for PICC line care and did not realize gloves should be changed after touching potentially contaminated surfaces. The resident in question was receiving intravenous antibiotics for endocarditis and had a PICC line, which is considered an invasive device requiring EBP according to facility policy. Additionally, two nursing assistants provided turning and repositioning care to another resident who was on EBP due to a gastrostomy tube and a wound positive for MRSA, without wearing gloves or gowns. The nursing assistants did not perform hand hygiene before entering the room and believed that repositioning a resident using a draw sheet did not require personal protective equipment (PPE). Both staff members stated they had received training on EBP but found the requirements confusing, particularly regarding which activities necessitated PPE. Observations confirmed that signage indicating EBP requirements was present outside the resident's room, specifying the need for gown and gloves during high-contact care activities, including handling bed linens and device care. Interviews with facility leadership, including the Assistant Director of Nursing, Unit Manager, Wound Care Nurse, Infection Preventionist, and Director of Nursing, revealed inconsistent understanding and implementation of EBP. While leadership confirmed that residents with invasive devices or wounds should be on EBP and that PPE is required for high-contact care activities, there was a lack of clarity regarding the assignment of precautions and verification of staff competency. The Infection Preventionist and Wound Care Nurse both indicated that the resident with the PICC line should have been on EBP, but there was no signage or consistent application of precautions for this resident.
Inaccurate MDS Coding for Multiple Residents
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for five residents in various areas including Hospice services, respiratory care, nutrition and weight loss, unnecessary medications, and communication and sensory. For Resident #35, the MDS assessment did not reflect the resident's ongoing Hospice services despite clear documentation in the health record. Similarly, Resident #47's MDS assessment failed to accurately report significant weight changes, and Resident #19's MDS assessment did not include the use of CPAP therapy, which was documented in the physician's orders and Medication Administration Record (MAR). Interviews with the MDS Coordinator confirmed these errors were due to incorrect coding. Additionally, Resident #17's MDS assessment inaccurately reported the use of antipsychotic medication, despite the Medication Administration Record showing daily administration of Risperidone. Resident #1's MDS assessment incorrectly indicated adequate hearing, while the resident and social worker confirmed severe hearing impairment. The Director of Nursing (DON) and the Administrator both stated that they expected MDS assessments to be completed accurately, highlighting a systemic issue in the facility's assessment process.
Failure to Accurately Record Weights and Provide Nutritional Supplements
Penalty
Summary
The facility failed to obtain and record accurate weights per physician order and verify the accuracy of a resident with a significant change in weight. Resident #47, who was admitted with diagnoses including stroke, diabetes, and dysphagia, had inconsistent and missing weight records despite having orders for weekly weights. The Registered Dietitian (RD) and Physician Assistant (PA) expressed concerns about the accuracy of the recorded weights, which were crucial for evaluating the resident's tube feeding and nutritional status. The Nursing Assistant (NA) responsible for obtaining the weights admitted to often not having enough time to complete this task, leading to missed and potentially inaccurate weight recordings. Resident #81, admitted with diagnoses including dementia, chronic kidney disease, and dehydration, also experienced issues with weight monitoring and nutritional supplementation. Despite a physician's order for weekly weights and nutritional supplements, the resident's weights were inconsistently recorded, and the supplements were not consistently provided. Observations revealed that the resident did not receive the nutritional supplements on multiple occasions, and the Dietary Manager confirmed that the order for the supplements was not in the system. The RD and PA were unaware of these lapses, which were critical for monitoring the resident's nutritional status. Interviews with the Director of Nursing (DON) and other staff members highlighted systemic issues in the process of obtaining and recording weights. The DON acknowledged a systems process failure and indicated that a performance improvement plan had been initiated to address weight management and accuracy. However, the plan had not yet been fully implemented, and staff education on the new procedures was still needed. The Unit Manager and other staff members also noted the need for better communication and processes to ensure that weights and nutritional supplements were provided as ordered.
Failure to Discontinue Medications as Ordered
Penalty
Summary
The facility failed to discontinue orders for the antibiotic Clindamycin and the opioid medication Oxycodone for a resident, resulting in the resident receiving 16 additional doses of Clindamycin and 15 additional doses of Oxycodone. The resident was admitted with diagnoses including cellulitis of the left lower limb and a history of opioid dependence. The hospital discharge summary specified that Clindamycin should be taken for 4 days and Oxycodone for up to 5 days. However, the Medication Administration Record (MAR) showed that the medications were administered well beyond these periods. Nurse #3, who entered the orders from the hospital discharge summary, acknowledged that she failed to enter discontinuation dates for both medications, which was an error. The Physician Assistant confirmed that the medications should have been discontinued according to the hospital discharge summary. The Director of Nursing (DON) was unaware that the orders were not discontinued as per the physician's order and stated that she expected the nursing staff to follow the hospital discharge summary and enter orders correctly.
Improper Storage and Handling of Kitchenware and Refrigerated Meat
Penalty
Summary
The facility failed to air dry kitchenware before stacking them in storage and did not ensure refrigerated meat items were dated and sealed. During an initial tour of the kitchen, 8 wet tray pans were observed stacked on top of one another on a storage rack. The Dietary Manager (DM) acknowledged that dietary staff had been previously in-serviced on the importance of air drying kitchenware to prevent bacterial growth. Additionally, a bag of sliced sandwich ham in the reach-in refrigerator was found not sealed or dated, and the DM could not explain why it was left open to air. The DM stated that she monitored refrigerator items weekly and that the ham should have been properly sealed and dated to prevent spoilage. The Administrator confirmed that it was her expectation for the kitchen staff to follow all regulatory guidelines for food and kitchen sanitation safety.
Facility Fails to Maintain Effective QAPI Program Leading to Multiple Deficiencies
Penalty
Summary
The facility's Quality Assurance and Performance Improvement Program (QAPI) failed to maintain implemented procedures and monitor interventions following multiple recertification and complaint investigation surveys. This resulted in six recited deficiencies during the current survey. These deficiencies included issues related to maintaining a safe, clean, comfortable, and homelike environment, accurate resident assessments, proper catheter care, accurate nurse staffing information, maintaining a medication error rate of less than 5%, and preventing significant medication errors. Specific observations included torn floor linoleum, black greenish substance on commode base caulking, broken cabinet doors, leaking commode bases, missing bathroom door threshold strips, broken or missing toilet paper dispensers, non-functioning overhead lights, broken window blinds, and strong urine and feces odors in certain hallways and resident rooms. Additionally, the facility failed to accurately code Minimum Data Set (MDS) assessments in various areas, use clean washcloths and water for catheter care, post accurate nurse staffing information, and maintain a medication error rate of less than 5%. There were also significant medication errors, including missed doses and incorrect administration of medications, which led to adverse outcomes for residents. The facility's failure to maintain a clean and sanitary environment was noted during previous surveys, with issues such as mold growing on walls and strong urine odors persisting over time. The facility also failed to accurately code MDS assessments for activities of daily living, range of motion, medication received, and falls. In terms of catheter care, the facility did not clarify and transcribe orders for continuous indwelling urinary catheters, perform catheter care appropriately, or position catheters correctly to prevent backflow of urine. The facility also failed to post accurate nurse staffing information and complete daily staffing forms as required. Medication errors were a significant issue, with the facility failing to maintain a medication error rate of less than 5% and prevent significant medication errors. Specific incidents included the failure to administer antihypertensive medication as prescribed, not checking blood pressure before administering nitrate medication, and administering medications belonging to another resident, which led to emergency room visits. The facility also failed to administer doses of antiseizure medication and prevent a drug overdose due to incorrect medication administration. The Administrator acknowledged that leadership changes contributed to the ineffective QAPI program and indicated that education and process improvements were needed to prevent future medication errors and improve the facility's environment.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents. Observations revealed multiple deficiencies, including torn floor linoleum in resident rooms, black greenish substance around the base of commodes, broken free-standing clothes cabinet doors, leaking commode bases, broken or missing bathroom door threshold strips, broken or missing toilet paper dispensers, non-functioning or broken overhead lights, and broken window blinds. These issues were noted in various rooms across the 500 and 600 halls. Interviews with the Maintenance Director and the Administrator confirmed that these areas needed to be addressed, repaired, or replaced, but the facility was struggling to keep up with the necessary repairs. Additionally, there was a persistent and strong odor of urine and feces detected in the 500 and 600 hallways and specific resident rooms. Residents and staff reported that the odor had been a long-standing issue, with some residents stating that they had informed the staff and administration multiple times over several months without any resolution. The Maintenance Director and the Administrator acknowledged the problem but were not fully aware of the extent of the odor issue. The Director of Nursing suggested that the odor might be related to a resident with an ostomy, but this was not confirmed. The facility's housekeeping staff also noted the strong urine odor and mentioned that they did not have enough room deodorizer to manage the smell effectively. Despite the presence of wall unit deodorizers, the odor remained strong and pungent. The Maintenance Director checked the deodorizers and found them to be working, but the emitted scent was very light and barely noticeable. The Administrator admitted that the facility was working on making improvements but acknowledged that there were still areas that needed to be addressed to ensure a clean and homelike environment for the residents.
Medication Administration Failures
Penalty
Summary
The facility failed to administer an as-needed antihypertensive medication as prescribed for a resident with high blood pressure, resulting in two missed doses. The resident's blood pressure was recorded as elevated on two occasions, but the medication was not administered, and the nurse could not confirm if it had been given. The Director of Nursing and the Physician Assistant both confirmed that the medication should have been administered to manage the resident's blood pressure effectively. The facility also failed to check a resident's blood pressure before administering scheduled antihypertensive and nitrate medications, which had specific parameters to hold the medication if the systolic blood pressure was less than 100. The nurses did not follow the orders to check the blood pressure before administration, and the medication administration records did not include the required blood pressure monitoring. The Physician Assistant and the Director of Nursing both emphasized the importance of following these parameters to avoid unnecessary lowering of blood pressure. Additionally, the facility did not administer the full course of an oral antibiotic prescribed for a resident with a urinary tract infection, resulting in three missed doses. The missed doses were not documented in the nursing progress notes, and the unit manager was unaware of the issue. Furthermore, another resident received 16 additional doses of an antibiotic and 15 additional doses of an opioid medication due to a failure to discontinue the orders as specified. The nurse responsible for entering the orders admitted to the error, and the Director of Nursing was not aware of the issue until the investigation.
Inadequate Catheter Care for Resident
Penalty
Summary
The facility failed to provide appropriate catheter care for a resident with an indwelling urinary catheter. During an observation, a nursing assistant (NA) was seen using the same washcloth and basin of water to clean the resident's upper body and then the genital area, including the catheter tubing. This practice is against the training provided to the NA, which requires the use of a clean washcloth and fresh water for cleaning around the catheter to prevent infection. The NA admitted to not bringing enough supplies and not changing the water as required, despite knowing the correct procedure. The resident involved had a history of a stage-4 sacral ulcer, osteomyelitis, and a urinary tract infection, necessitating the use of an indwelling urinary catheter to aid in wound healing. The Director of Nursing (DON) confirmed that catheter care should be performed every shift using clean water and a fresh washcloth. The Administrator also stated that staff are expected to perform catheter care correctly. The deficiency was identified through observations, record reviews, and staff interviews.
Improper Storage of Feeding Tube Equipment
Penalty
Summary
The facility failed to properly store the plastic plunger and syringe used for the administration of water and medications for a resident with a feeding tube. Resident #47, who was admitted with a stroke and dysphagia, had severe cognitive impairment and relied on a feeding tube for more than 51% of her total caloric intake and over 501 cc of fluid intake. During multiple observations, the syringe was found stored with the plunger inside and visible liquid in the tip, which was not in compliance with proper storage protocols to prevent bacterial growth. Interviews with the assigned nurse and the Director of Nursing (DON) confirmed that the plunger and syringe were being stored together after use, contrary to the expected practice of storing them separately. The nurse admitted to placing the plunger and syringe together in a clear plastic bag hanging on an intravenous pole after administering medications and flushing the feeding tube. The DON acknowledged that the expected procedure was not followed, leading to the potential for bacterial contamination.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, with a reported error rate of 12%. During a medication pass observation, it was found that Resident #401 was administered Oxycodone and Clindamycin, both of which should have been discontinued according to the physician's orders. The Oxycodone was ordered to be discontinued on 04/27/24, and the Clindamycin on 04/26/24, but both medications remained on the Medication Administration Record (MAR) and were administered on 05/01/24. Medication Aide #1 was unaware that these medications should have been discontinued and administered them as they appeared on the MAR. Additionally, Resident #84 was administered Omeprazole 40 mg for gastroesophageal reflux disease (GERD) at the time of his breakfast, contrary to the physician's order that specified it should be given at least 30 minutes before breakfast. The MAR indicated that Omeprazole was scheduled for administration at 7:00 AM, but it was given late because Medication Aide #1 had other medications to administer. The Director of Nursing was not aware of the discrepancies in the MAR and stated that the physician would be notified to discontinue the medications for Resident #401 and that the administration time for Omeprazole for Resident #84 would be reviewed and adjusted.
Inaccurate Nurse Staffing Information and Missing Daily Staffing Form
Penalty
Summary
The facility failed to post accurate nurse staffing information for 18 out of 106 days reviewed and did not complete a Daily Staffing Form on one day. The discrepancies were found in the staff posting sheets, which did not match the actual nursing staff present at the beginning of each shift. The dates with inaccuracies included various days from October 1, 2023, through April 30, 2024. Additionally, no Daily Staffing Form was completed on December 25, 2023. The Scheduler admitted that the postings were filled out at the beginning of the day and were not adjusted when staffing changed, especially after she left at 5:00 PM or on weekends. On December 25, 2023, the Scheduler worked from home, and no administrative staff were on duty to complete the form, leading to the omission. The Human Resources Manager could not explain the low weekend staffing reported in the PBJ Staffing Data Report, attributing it to agency staff not always punching the time clock, which may have led to inaccurate reporting. The Administrator confirmed that she expected the staff postings to be accurate every day and reiterated that the facility did not work short-staffed on weekends. The report highlights the facility's failure to maintain accurate and up-to-date nurse staffing information, which is crucial for ensuring proper care and compliance with regulatory requirements.
Failure to Provide Written Notification of Discharge
Penalty
Summary
The facility failed to provide written notification of discharge or transfer to a resident and their Responsible Party (RP) for a hospitalization event. Resident #102, who was cognitively intact, was admitted to the facility and later transferred to the hospital. The medical record showed no documentation of written notice of discharge being provided to the resident or her RP. Interviews with the Social Worker and the Administrator revealed that neither was aware of the requirement to provide written notification of discharge to the resident and RP, indicating a lack of compliance with the notification protocol.
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What surveyors actually found near you
We read the 73 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
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Illustrative
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Nursing homes near Wilmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peak Resources-wilmington, Inc | 0.2 mi | ★★★★★ | 10 | 1 |
| Cypress Pointe Rehabilitation Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Azalea Health & Rehab Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Brunswick Cove Nursing Center | 3.3 mi | ★★★★★ | 15 | 0 |
| Trinity Grove | 4.3 mi | ★★★★★ | 5 | 0 |
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