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 Wilkinson Residential Health Care Facility during CMS and state inspections, most recent first.
Three residents experienced neglect or improper care when a CNA left a cognitively impaired resident unsupervised outside, another CNA failed to use a required mechanical lift resulting in injury, and two CNAs did not provide care according to a resident's preferences, causing the resident to resist and sustain a bruise. These incidents involved residents with dementia, stroke-related disabilities, and chronic illnesses.
A resident with multiple comorbidities reported verbal and physical abuse by five staff during a Foley catheter insertion. The facility delayed investigating a bruise of unknown origin and did not address why the LPN failed to seek RN Supervisor assistance or report the incident to the DON. The abuse prevention policy lacked guidance on post-allegation investigations.
A resident with complex medical needs experienced a change in mental status and resisted a physician-ordered catheterization. Despite the resident's confusion and refusal, an LPN and several staff physically restrained the resident to complete the procedure without notifying the healthcare provider or the RN, and without proper assessment or documentation. The physician was not informed of the resident's condition or the difficulties encountered, and no follow-up monitoring or care planning was completed until days later, after the resident reported the incident as traumatic.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
Three separate incidents involving three residents demonstrated the facility's failure to protect residents from abuse and neglect, as required by policy. In the first incident, a resident with Alzheimer's disease and severe cognitive impairment, who was at risk for elopement, was left unattended outside the facility by a Certified Nurse Aide (CNA). The CNA brought the resident outside, assumed there was a group activity, and left the resident unsupervised for an extended period until a visitor returned the resident inside. The resident's care plan specifically required that they not be left unsupervised when outside the unit, including outside the building. In the second incident, a resident with left-sided hemiplegia and hemiparesis following a stroke, as well as chronic respiratory failure and heart failure, was injured when a CNA failed to use a mechanical lift as directed in the resident's care plan and care card. Instead, the CNA transferred the resident without assistance, resulting in the resident's foot becoming caught under the bed and sustaining a bruise. The resident reported that this CNA did not use the lift, while other aides did follow the care plan. The third incident involved a resident with hypertensive heart disease, chronic kidney disease, and type 2 diabetes, who was slightly cognitively compromised and had a history of behavioral symptoms. Two CNAs did not provide personal care in the manner preferred by the resident, leading the resident to resist care and sustain a bruise to their hand after hitting it on the side rail. The resident reported being flipped and shoved during care, and the investigation confirmed that care was not provided according to the resident's preferences, resulting in the injury.
Failure to Thoroughly Investigate Alleged Abuse and Unexplained Injury
Penalty
Summary
The facility failed to ensure that all allegations of abuse were thoroughly investigated for one resident. The resident, who had a history of spinal surgery, diabetes mellitus, and morbid obesity, reported experiencing verbal and physical abuse, including being held down by five staff members during a Foley catheter insertion. The resident was cognitively intact and able to communicate effectively. The allegation was reported to a registered nurse three days after the incident, who then notified the Director of Nursing and Director of Social Work, initiating an investigation and reporting the incident to the state health department as required. However, the investigation did not address the presence of a bruise of unknown origin on the resident's upper left arm until two days after the investigation began. Additionally, the investigation did not explore why the LPN involved did not seek assistance from the RN Supervisor or why neither nurse reported the incident to the Director of Nursing at the time it occurred. The facility's abuse prevention policy did not include procedures for conducting investigations after an allegation was made, contributing to the incomplete investigation.
Failure to Notify Physician and Assess Resident During Change in Condition and Procedure
Penalty
Summary
A deficiency occurred when a resident, recently readmitted after hospitalization for multiple complex conditions including status post spinal surgery, diabetes mellitus, and morbid obesity, experienced a significant change in mental status and became resistant to care during a physician-ordered catheterization procedure. Despite the resident's confusion, resistance, and expressed refusal, the LPN did not notify the facility healthcare practitioner or the Registered Nurse (RN) on duty of the mental status change or the difficulty encountered during the procedure. Multiple staff members were involved in physically restraining the resident to complete the catheterization, and the resident later reported the experience as traumatic and distressing. There was no documentation by the RN or LPN of an assessment or follow-up after the procedure, nor was there evidence that the physician was notified of the resident's change in condition, the results of the bladder scan, or the challenges faced during catheterization. The RN did not reassess the resident or provide a shift report to the oncoming nurse, and no vital signs or behavioral monitoring were documented after the procedure. Additionally, there was no comprehensive care plan addressing the resident's urinary retention or mental status changes until several days later, after the resident reported the incident as abuse. Interviews with staff confirmed that professional standards of care were not followed, including the failure to review orders prior to procedures, lack of notification to the physician regarding the resident's resistance and mental status change, and absence of RN assessment. The facility's own policy required immediate physician notification for significant changes in condition, which was not adhered to in this case. The events led to the resident experiencing psychosocial harm and a lack of appropriate monitoring and intervention during a critical change in their condition.
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Illustrative
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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 Amsterdam
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Ridge Living Center | 3.4 mi | ★★★★★ | 2 | 0 |
| Capstone Center For Rehabilitation And Nursing | 6.4 mi | ★★★★★ | 0 | 0 |
| Nathan Littauer Hospital Nursing Home | 9.2 mi | ★★★★★ | 0 | 0 |
| Wells Nursing Home Inc | 9.5 mi | ★★★★★ | 1 | 0 |
| Fulton Center For Rehabilitation And Healthcare | 11 mi | ★★★★★ | 1 | 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.