Above 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 Wishek Living Center during CMS and state inspections, most recent first.
A resident with a known fish allergy was served fish during lunch, resulting in an anaphylactic reaction and hospitalization. Despite the allergy being documented in the care plan and diet card, kitchen staff failed to read and follow the allergy information, leading to the incident.
Failure to Accommodate Resident Allergy Leads to Hospitalization
Penalty
Summary
The facility failed to ensure that food served to a resident accommodated their known allergies, resulting in the resident being hospitalized for an allergic reaction. The resident, who had a documented allergy to fish, was served fish during lunch, leading to an anaphylactic reaction. The resident's medical record indicated a diagnosis of dementia and an allergy to fish upon admission, with the care plan and diet card both noting the fish allergy. Despite these precautions, the kitchen staff did not read or follow the allergy information on the diet card, which led to the resident consuming fish. On the day of the incident, a nurse found the resident in the dining room with symptoms of an allergic reaction, including pale/grey skin color, slow response, and low blood pressure. The resident's condition worsened, leading to loss of consciousness and the need for emergency medical intervention. The resident was transferred to the hospital and treated for an anaphylactic reaction. The facility's investigation confirmed that the kitchen staff failed to read and adhere to the allergy information on the diet card, which was the cause of the incident.
Removal Plan
- The facility completed an investigation with interviews of staff that determined the cause of the incident. Kitchen staff failed to read and follow allergy noted on diet card. Resident #1 was served fish during lunch.
- Provided immediate dietary staff education regarding importance of reading diet cards every time. You must be reviewing these for every meal. When serving, the person reading cards must announce the resident, the diet, and any allergies or dislike pertaining to that day's meal. Additional dietary staff education completed regarding changing the format of the diet cards and placing the allergies in red lettering.
- Implemented the use of newly formatted resident diet cards with allergies noted in red lettering.
- Provided education via written information e-mailed to all staff regarding newly formatted resident diet cards with allergies noted in red lettering. The education included the process for breakfast, lunch, supper, and room tray delivery.
- Dietary staff educated and received hard copy of newly formatted resident diet card and process for serving food.
- Random audits completed by dietary supervisor to ensure the new process is followed.
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Nursing homes near Wishek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ashley Medical Center Nursing Home | 17.4 mi | ★★★★★ | 0 | 0 |
| Wentz Living Center | 19.5 mi | ★★★★★ | 1 | 0 |
| Strasburg Nursing Home | 29.8 mi | ★★★★★ | 6 | 0 |
| Avera Eureka Health Care Center | 33.8 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 July 2026) and official state health department websites.