Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Wells Nursing Home Inc during CMS and state inspections, most recent first.
A resident with dementia and a care plan directing staff to leave and reapproach when the resident became combative was taken for a shower by two CNAs. After the shower began, the resident became combative and struck one CNA, but the CNAs continued the shower instead of stopping care as directed by the care plan. During this continued care, the resident sustained multiple injuries, including several skin tears with bruising on the arms, a head hematoma and laceration, and bruising to an ankle, which were later documented by an RN and evaluated by the medical director.
A resident with severe cognitive impairment and other health issues fell from bed and sustained a pelvis fracture after a CNA failed to follow the care plan requiring a two-person assist for bed mobility. The CNA attempted to reposition the resident alone, leading to the fall and subsequent injury.
The facility did not provide two residents with the required 2-day notification of the termination of their Medicare Part A services. There was no documented evidence of the Notice of Medicare Non-Coverage being given, and a fiscal clerk could not account for the oversight.
A recertification survey revealed that a medication cart on the 2nd floor contained insulin pens without open or expiration dates, violating professional standards. An LPN acknowledged the issue and stated they would not use the unlabeled pens. Interviews with staff indicated a lack of adherence to the facility's medication labeling policy, with the DON noting that regular checks were not consistently performed.
Failure to Follow Care Plan and Stop Shower When Resident Became Combative, Resulting in Injuries
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from abuse and to follow the resident’s comprehensive care plan regarding resistance to care. The resident had diagnoses including unspecified dementia, chronic diastolic congestive heart failure, and chronic kidney disease, and the MDS documented that the resident was able to be understood, able to understand others, and had intact cognition. The resident’s care plan, initiated earlier, specified that when the resident became combative and agitated, staff were to leave the resident safe and reapproach later. Despite this, on the day of the incident, two CNAs continued to provide shower care after the resident became combative. During the shower, the resident became combative and began striking one of the CNAs. CNA #1 reported that they continued the shower, attempted to keep the resident from sliding off the shower chair, and tried to deflect some of the blows directed at CNA #2. The care was not stopped despite the resident’s combative behavior and the existing care plan intervention to leave and reapproach when the resident was combative. The facility’s own investigation later determined that there had been a violation of the comprehensive care plan. As a result of the continued showering while the resident was combative, the resident sustained multiple injuries. These included several skin tears on the left elbow and left forearm with surrounding bruising, a skin tear on the right elbow, scattered bruising to the right arm, a hematoma on the back of the head, a laceration on the back of the head below the hematoma, and bruising to the left ankle. The RN who assessed the resident documented these injuries in a progress note, and the former medical director later described the injuries as minor with no significant radiographic findings. The incident was reported to nursing staff after the shower was completed and the resident had been returned to the room.
Neglect Due to Failure to Follow Care Plan
Penalty
Summary
The facility failed to ensure the resident's right to be free from neglect, resulting in harm to a resident. On April 3, 2024, a Certified Nurse Aide (CNA) did not adhere to the resident's Comprehensive Care Plan, which required a two-person assist for bed mobility. Instead, the CNA attempted to reposition the resident alone, leading to the resident rolling out of bed and sustaining a pelvis fracture. This incident involved a resident with severe cognitive impairment, legal blindness, and chronic kidney disease, who was dependent on staff for assistance with activities of daily living. The resident's care plan clearly documented the need for a two-person assist for various activities, including turning and positioning in bed. Despite this, the CNA proceeded to provide care without the required assistance, resulting in the resident falling from the bed. Initially, the resident did not show visible signs of injury, but later complained of pain and began vomiting, prompting a hospital visit where fractures were confirmed. The facility's investigation revealed that the CNA failed to follow the established care plan, which was a critical factor in the incident. The CNA had not previously been disciplined and received a verbal and written warning following the event. The investigation highlighted the importance of adhering to care plans and the need for staff to verify resident care requirements before providing assistance.
Failure to Provide Timely Notification of Service Termination
Penalty
Summary
The facility failed to ensure that residents and/or their designated representatives were fully informed of their right to an expedited review of a service termination. Specifically, two residents who were receiving Medicare Part A services did not receive the required 2-day notification prior to the termination of their rehabilitative services. There was no documented evidence that these residents received the Notice of Medicare Non-Coverage, Form CMS 10123-NOMNC, as required. During interviews, a fiscal clerk was unable to explain why the notifications were not provided, and the facility administrator acknowledged the oversight.
Medication Labeling and Storage Deficiency
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional standards of practice. During a recertification survey, it was observed that the 2nd floor medication cart contained insulin pens without open or expiration dates. Specifically, a Troujeo Max Solostar insulin pen, a Basaglar Kwik Pen insulin pen, and an Aspart insulin pen were found without proper labeling. Licensed Practical Nurse #1, upon observation, acknowledged the lack of labeling and stated that they would not use an unlabeled pen and would seek guidance from the unit manager. Interviews with staff revealed a lack of adherence to the facility's policies regarding medication labeling. Registered Nurse #1 confirmed that the policy required insulin pens to be labeled with the date opened and expiration date. The Director of Nursing stated that nurses were frequently reminded about labeling medications and that a weekly check of medication carts was supposed to be conducted. However, the last check was done on a specific date, indicating a lapse in regular monitoring. This deficiency highlights a failure in the facility's medication management practices, as outlined in the 10 New York Codes, Rules, and Regulations 415.18(d).
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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 Johnstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fulton Center For Rehabilitation And Healthcare | 4.9 mi | ★★★★★ | 1 | 0 |
| Nathan Littauer Hospital Nursing Home | 5.1 mi | ★★★★★ | 0 | 0 |
| Wilkinson Residential Health Care Facility | 9.5 mi | ★★★★★ | 0 | 0 |
| River Ridge Living Center | 9.6 mi | ★★★★★ | 2 | 0 |
| Palatine Nursing Home | 11.3 mi | ★★★★★ | 14 | 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.