Above 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 Wilmington Nursing & Rehab during CMS and state inspections, most recent first.
The facility failed to serve food at a warm and palatable temperature, affecting nearly all residents. Observations revealed that while initial cooking temperatures were adequate, the food was served cold and bland. Residents confirmed the food was overcooked and unappetizing, contrary to the facility's food preparation policy.
The facility failed to conduct quarterly care conferences for several residents, contrary to its policy. A resident with type two diabetes and COPD had only two care conferences in a year, while another with Parkinson's disease had just one. Two other residents, one with cerebral infarction and another with multiple diagnoses, also did not receive the required quarterly care conferences. Interviews confirmed these deficiencies.
A resident with diabetes and moderate cognitive impairment did not receive timely foot care due to missed and canceled podiatry appointments. The resident's toenails became overgrown and curling, with dry and peeling skin. Staff interviews confirmed the failure to ensure timely podiatry services, despite the facility's policy requiring follow-up for ancillary services.
A resident with severe cognitive impairment was affected by a significant medication error when they were administered incorrect doses of Warfarin on multiple occasions. Despite physician orders specifying different dosages for different days, the resident received both five mg and six mg doses on eight days due to incorrect entries in the MAR. The error was confirmed by the DON, highlighting a failure to adhere to the facility's medication administration policy.
The facility did not deliver mail to residents on weekends, affecting all 63 residents. Interviews revealed that mail was only distributed Monday through Friday, despite the Business Office Manager stating that mail should be delivered on Saturdays, except for insurance-related mail. The Activities Director confirmed the lack of Saturday mail delivery. The resident rights handbook indicated that residents have the right to receive mail with privacy and access to necessary materials.
Deficiency in Food Temperature and Palatability
Penalty
Summary
The facility failed to ensure that food was served at a warm and palatable temperature, affecting all residents except one who did not receive food from the facility's kitchen. During an observation of the meal service, it was noted that the cooking temperatures of the fish patty, chicken fingers, and broccoli casserole were initially within safe ranges. However, by the time the food was served to residents, the temperatures had significantly dropped, rendering the food unsatisfactory in terms of temperature and taste. The surveyor's test tray confirmed that the food items were not hot and were bland in taste, with an unappealing presentation. Interviews with several residents corroborated the surveyor's findings, as they reported that the fish and chicken were overcooked, resulting in hard breading and dry meat, while the broccoli casserole was dry and lacked flavor. The facility's policy on food preparation and handling, which was reviewed, emphasized maintaining safe temperatures and enhancing flavor, but these standards were not met during the observed meal service. This deficiency was investigated under Complaint Number OH00160920.
Failure to Conduct Quarterly Care Conferences
Penalty
Summary
The facility failed to conduct quarterly care conferences for residents, as required by their Comprehensive Care Planning Policy. This deficiency affected four out of five residents reviewed, with the facility having a census of 63. Resident #18, diagnosed with type two diabetes mellitus, COPD, convulsions, and anxiety disorder, had only two care conferences in the last 12 months, despite having moderate cognitive impairment. Similarly, Resident #21, with diagnoses including Parkinson's disease and emphysema, had only one care conference in the past year, even though their cognition was intact. Resident #52, who had cerebral infarction and congestive heart failure, also received only one care conference in the last year, despite having intact cognition. Resident #29, with multiple diagnoses including cerebral infarction and type two diabetes mellitus, had only two care conferences in the past year. Interviews with the Social Services Designee confirmed the lack of quarterly care conferences for these residents, which is contrary to the facility's policy that mandates a comprehensive care plan to be reviewed and updated at least every 90 days.
Failure to Provide Timely Foot Care
Penalty
Summary
The facility failed to provide timely foot care for a resident, leading to a deficiency in care. The resident, who had a history of type two diabetes mellitus, chronic obstructive pulmonary disease, convulsions, and anxiety disorder, was dependent on staff for bathing and had moderate cognitive impairment. The resident's medical records indicated a need for regular podiatry follow-ups, but there were multiple missed appointments. The resident was seen by a podiatrist in October 2023, but subsequent appointments in January and March 2024 were either refused by the resident or canceled by the podiatrist. By June 2024, the resident had not been seen by a podiatrist, resulting in overgrown, curling, thick, and yellow toenails with dry and peeling surrounding skin. Interviews with the resident and staff confirmed the resident's desire for toenail care and the facility's failure to ensure timely podiatry services. The Assistant Director of Nursing verified the condition of the resident's toenails, acknowledging the risk for skin impairment. The Social Services Designee admitted to difficulties in rescheduling appointments and failing to follow up on the resident's podiatry care. The facility's policy required social services to ensure follow-up for ancillary services, which was not adhered to in this case.
Significant Medication Error Due to Incorrect Warfarin Dosage
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, specifically affecting one resident. The resident, who had diagnoses including acute embolism and thrombosis of deep veins of the lower extremity and atherosclerotic heart disease, was admitted with severely impaired cognition. A physician's order was given to adjust the dosage of Warfarin, a blood thinner, to six milligrams on Mondays and Thursdays, while maintaining a five-milligram dose on other days. However, the Medication Administration Record (MAR) showed that the resident was administered both the five mg and six mg doses on eight separate days, contrary to the physician's instructions. The error was confirmed by the Director of Nursing, who acknowledged that the resident received incorrect dosages on multiple occasions. The facility's policy on medication administration requires staff to verify the correct medication, dose, route, rate, time, and resident each time a medication is administered. Despite this policy, the orders were entered incorrectly into the MAR, leading to the repeated administration of both doses. This oversight was documented in a progress note, which highlighted the presence of double orders for different doses of Warfarin, leading to the medication error.
Failure to Deliver Mail on Weekends
Penalty
Summary
The facility failed to ensure that residents received their mail on weekends, which had the potential to affect all 63 residents residing in the facility. During the annual survey, interviews with several residents revealed that mail was only delivered from Monday to Friday, and not on Saturdays. The Business Office Manager indicated that residents were supposed to receive mail on Saturdays, except for insurance-related mail, and that the activities department was responsible for distributing the mail. However, the Activities Director confirmed that mail was not handed out on Saturdays. A review of the resident rights handbook showed that residents had the right to send and receive mail, including receiving letters, packages, and other materials delivered to the facility, with privacy and access to necessary materials at their own expense.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 209 citations issued within 25 miles in the last 12 months — including the 1 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
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wilmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ohio Living Cape May | 0.9 mi | ★★★★★ | 2 | 0 |
| Autumn Years Nursing Center | 11.9 mi | — | 0 | 0 |
| Continental Manor Nurs And Rehabilitation Center | 12.4 mi | ★★★★★ | 0 | 0 |
| Laurels Of Blanchester, The | 13.1 mi | ★★★★★ | 0 | 0 |
| Jamestown Place Health And Rehab | 14.2 mi | ★★★★★ | 38 | 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.