Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Glen Health Services Corp during CMS and state inspections, most recent first.
A resident and staff reported repeated complaints about food not being served hot enough, with staff often needing to reheat meals. Observations confirmed that food, initially at safe temperatures, became cold or lukewarm by the time it was served, falling below the facility's required standards. The facility's policy required food to be checked and reheated if necessary, but this was not consistently followed.
Surveyors found that the facility did not maintain sanitary kitchen conditions, failed to store and label food items properly, and did not ensure safe food handling during meal service. Food in coolers was held above required temperatures, some items were unlabeled or past their use-by dates, and kitchen surfaces were dirty and in disrepair. Additionally, an activities assistant distributed food to residents without following hand hygiene protocols.
Staff failed to disinfect wound care equipment between uses and did not implement enhanced barrier precautions (EBP) for two residents with wounds and IV medications. In one case, a nurse used the same scissors for multiple wound dressings without cleaning them, and a wound was allowed to touch an unclean surface. In another case, EBP was not initiated for a resident with a wound and IV antibiotics, and required PPE and signage were not in place.
A grab bar next to the toilet in the second floor spa room was found to be very loose and coming off the wall. A resident reported the issue, and both a maintenance technician and the maintenance director confirmed the grab bar was broken and had not been successfully repaired, potentially affecting 27 residents who used the spa.
Two residents did not have required care plans in place: one with a lumbar fracture and cognitive impairment lacked a pain management care plan despite active pain medication orders, and another with pneumonia and mild cognitive impairment had no care plans for antibiotic use or enhanced barrier precautions, as confirmed by the DON.
A resident with multiple medical conditions and a high risk for falls did not have a perimeter mattress in place as required by their care plan and CNA Kardex. Observations confirmed the absence of the mattress, and staff interviews revealed it was not transferred after a room change, despite the intervention being documented as necessary.
Two residents did not receive meals according to their documented food preferences and requests. One resident, with a history of a feeding tube and a mechanically altered diet, was served food on a plate instead of in individual bowls as specified in her care plan. Another resident, who was cognitively intact, did not receive her requested menu items and was given items she had declined, despite clear instructions on her meal ticket. The Dining Operations Manager confirmed these errors.
Failure to Serve Food at Safe and Palatable Temperatures
Penalty
Summary
The facility failed to ensure that food was served at a palatable and safe temperature, as required by policy. Multiple interviews revealed that a resident complained about receiving food that was not hot enough, and both a registered nurse and a certified nursing assistant confirmed ongoing complaints regarding food temperature. The CNA reported routinely reheating food for the resident. The Dining Services Director stated that hot food should be served at a minimum of 135 degrees Fahrenheit, and cold food at 41 degrees Fahrenheit or below. During observation of the tray line, food temperatures were initially within the required range when placed on the tray. However, after the tray was transported and served, the food temperatures had dropped significantly below the required minimum, with the vegetables and shrimp alfredo being cold and the soup only lukewarm. The Dining Services Director confirmed these temperatures. The facility's policy required checking food temperatures before delivery and reheating any items below the goal serving temperature, but this was not consistently achieved, resulting in food being served at unsafe and unappetizing temperatures.
Deficient Food Storage, Kitchen Sanitation, and Food Handling Practices
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, store food safely, and serve food in accordance with professional standards. Observations revealed that the sandwich cooler on the second floor was operating above the required temperature, with various food items such as sliced tomatoes, hard-boiled eggs, sliced turkey, chicken salad, cheese, and milk all found at temperatures exceeding the 41 degrees Fahrenheit standard for time/temperature control for safety (TCS) foods. Staff interviews confirmed awareness of the required temperature standards, and policy reviews supported the need for proper refrigeration. Additionally, the walk-in cooler contained multiple unlabeled and undated food items, including cheeses and pot roast, with some items past their use-by dates. The cooler and produce cooler also had dirty, rusting, and dusty surfaces, and a hole in the kitchen floor was observed collecting food debris, which staff acknowledged as an ongoing maintenance issue. Further deficiencies were observed in food handling practices during resident activities. An activities assistant was seen distributing muffins to residents without wearing gloves or performing hand hygiene between residents, even after touching both the food and residents' clothing. The assistant confirmed not following hand hygiene protocols, and facility policy requires handwashing before, during, and after food preparation, as well as between contact with different residents. These failures in food storage, kitchen sanitation, and food service practices had the potential to affect all residents receiving food from the kitchen.
Failure to Disinfect Equipment and Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
Staff failed to follow infection prevention and control protocols during wound care treatment and the implementation of enhanced barrier precautions (EBP) for residents with wounds and intravenous medications. In one instance, a registered nurse used scissors to remove a soiled dressing from a resident's wound without disinfecting the scissors before or after use. The same scissors were then used to cut clean dressing material, which was subsequently applied to the wound. Additionally, the resident's wound came into direct contact with an unclean surface of a recliner chair during the dressing change. The nurse confirmed that these scissors were used for wound treatments on multiple residents without proper disinfection between uses. Facility policy required reusable equipment such as scissors to be disinfected before use and after contamination, but this was not followed. In another case, a resident receiving intravenous medications for a wound infection did not have EBP implemented as required. There were no physician orders, signage, or personal protective equipment (PPE) in place to indicate EBP was being used, despite the resident having an open wound and being on IV antibiotics. The director of nursing confirmed that EBP should have been in place but was not initiated until several days after it was indicated. CDC guidance and facility policy both required EBP for residents with open wounds or indwelling medical devices, but these measures were not followed in this instance.
Failure to Maintain Safe Patient Care Equipment
Penalty
Summary
The facility failed to maintain patient care equipment in safe operating condition, specifically a grab bar in the second floor spa room next to the toilet. A resident reported that the grab bar was shaky and coming off the wall. Subsequent observation and interview with a maintenance technician confirmed that the grab bar was very loose, and the technician stated he did not know how to fix it despite trying various fasteners. The maintenance director also confirmed that the grab bar was broken. This deficiency had the potential to affect 27 residents who used the second floor spa.
Failure to Develop Care Plans for Pain, Infection, and Precautions
Penalty
Summary
The facility failed to develop and implement complete care plans to address all identified needs for two residents. For one resident with a significant cognitive impairment and a diagnosis of wedge compression fracture of the lumbar vertebra, medical records showed active physician orders for pain management, including diclofenac sodium gel and Tylenol. However, review of the resident's care plan revealed no documentation or plan for pain management or treatment. The Director of Nursing confirmed the absence of a pain care plan for this resident. Another resident, admitted with a diagnosis of pneumonia and mild cognitive impairment, was placed on enhanced barrier precautions and prescribed a course of Levaquin for seven days. Despite these interventions, there were no care plans developed or initiated for either antibiotic use or enhanced barrier precautions. The Director of Nursing confirmed that care plans for these areas were not in place for this resident.
Failure to Implement Fall Prevention Intervention for High-Risk Resident
Penalty
Summary
A resident with a history of diabetes mellitus, myocardial infarction, depression, frequent falls, and acute ischemic cerebrovascular accident was identified as being at high risk for falls. The resident's comprehensive care plan included an intervention to apply a perimeter mattress to the bed, and this intervention was also documented in the CNA Kardex. However, observations on two separate occasions revealed that the resident was sleeping in a low bed without the required perimeter mattress in place. Staff interviews confirmed that the perimeter mattress was not present, and it was noted that the resident had a room change earlier in the year, after which the mattress was not transferred to the new room. The DON indicated that staff should use the Kardex to ensure current fall interventions are implemented.
Failure to Honor Resident Food Preferences and Requests
Penalty
Summary
The facility failed to honor food preferences and requests for two residents. One resident with intellectual disabilities, type II diabetes mellitus, and a history of a feeding tube was care planned to receive meals in small individual bowls due to her mechanically altered diet. However, observation showed her dinner was served on a plate with all food together, contrary to her meal ticket and care plan instructions. The Dining Operations Manager confirmed the resident did not receive her food in separate bowls as required. Another resident with chronic obstructive pulmonary disease and morbid obesity, who was cognitively intact, reported ongoing issues with the kitchen not providing her correct food choices. Observation revealed she did not receive the requested glazed carrots and was given cranberry juice, despite her meal ticket specifying glazed carrots and no juice. The Dining Operations Manager verified these errors and acknowledged the resident's requests were not met. Facility policy requires honoring residents' food preferences and choices whenever possible, but this was not followed in these cases.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Columbus Alzheimer's Care Ctr | 1.4 mi | ★★★★★ | 0 | 0 |
| Laurels Of Worthington, The | 1.9 mi | ★★★★★ | 0 | 0 |
| Riverview | 2.4 mi | ★★★★★ | 0 | 0 |
| The Laurels Of Walden Park | 2.5 mi | ★★★★★ | 31 | 0 |
| Laurels Of Norworth The | 2.5 mi | ★★★★★ | 5 | 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.