Facility profile · CCN 085031
Encore At Wilmington
60 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $32,394.
Record summary
Federal record · Q1 202660
Total citations
35
Last 3 years
2
Actual harm+
2
Federal penalties
$32,394
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
60 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 6, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 2, 2024 | F728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Complaint |
| Jul 2, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 2, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 2, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 2, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jul 2, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| Jul 2, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Jul 2, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| Jul 2, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 2, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jul 2, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard |
| Jul 2, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jul 2, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Jul 2, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jul 2, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jul 2, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 2, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 2, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 2, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 2, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 2, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Jul 2, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jul 2, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Jul 2, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jan 8, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Jan 8, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Jan 8, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jan 8, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jan 8, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | J | Complaint |
| Jan 8, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Jan 8, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Complaint |
| Jan 8, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Complaint |
| Jan 8, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jan 8, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| Apr 20, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint |
| Apr 20, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint |
| Jan 26, 2023 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Jan 26, 2023 | F886 | Perform COVID19 testing on residents and staff. | F | Standard |
| Jan 26, 2023 | F885 | Report COVID19 data to residents and families. | E | Standard |
| Jan 26, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard |
| Jan 26, 2023 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Jan 26, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jan 26, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Jan 26, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 26, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Jan 26, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jan 26, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jan 26, 2023 | F732 | Post nurse staffing information every day. | C | Standard |
| Jan 26, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 26, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 26, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jan 26, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jan 26, 2023 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Jan 26, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jan 26, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Jan 26, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Nov 1, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 1, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Nov 1, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $32,394 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 2, 2024 | Fine | $16,801 | — |
| Jan 8, 2024 | Fine | $15,593 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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