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Facility profile · CCN 085028

Wilmington Nursing & Rehabilitation Center

85 federal citations on record , including 5 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $408,742.

Special Focus Status 5 Immediate Jeopardy

Record summary

Federal record · Q1 2026
85
Total citations
80
Last 3 years
9
Actual harm+
6
Federal penalties
$408,742
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

85 on record
SurveyF-TagViolationSeveritySource
Dec 4, 2025F880Provide and implement an infection prevention and control program.EComplaint
Dec 4, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Dec 4, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Dec 4, 2025F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
Dec 4, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint
Oct 2, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Oct 2, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint
Oct 2, 2024F760Ensure that residents are free from significant medication errors.GComplaint
Oct 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint
Oct 2, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Oct 2, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Oct 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Oct 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 2, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Oct 2, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Oct 2, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Oct 2, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Oct 2, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 2, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard
Oct 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 2, 2024F732Post nurse staffing information every day.DStandard
Oct 2, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Oct 2, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 2, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Oct 2, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Oct 2, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Oct 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 2, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 2, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 10, 2024F838Conduct 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.DComplaint
Apr 10, 2024F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.CComplaint
Apr 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Apr 10, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Apr 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 10, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 10, 2023F610Respond appropriately to all alleged violations.DComplaint
Aug 10, 2023F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Aug 10, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Aug 10, 2023F562Provide immediate access to any resident.DComplaint
Aug 10, 2023F923Have enough outside ventilation via a window or mechanical ventilation, or both.DComplaint
Aug 10, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Aug 10, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Aug 10, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint
Aug 10, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.KComplaint
Aug 10, 2023F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Aug 10, 2023F692Provide enough food/fluids to maintain a resident's health.GComplaint
Aug 10, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Aug 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 10, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Aug 10, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Aug 10, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Aug 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 10, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 10, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Aug 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 10, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Aug 10, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Aug 10, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Aug 10, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Aug 10, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Aug 10, 2023F946Provide training in compliance and ethics.DStandard
Aug 10, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard
Aug 10, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Aug 10, 2023F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard
Aug 10, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Aug 10, 2023F908Keep all essential equipment working safely.FStandard
Aug 10, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard
Aug 10, 2023F880Provide and implement an infection prevention and control program.FStandard
Aug 10, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Aug 10, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 10, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Aug 10, 2023F760Ensure that residents are free from significant medication errors.KStandard
Aug 10, 2023F695Provide safe and appropriate respiratory care for a resident when needed.JStandard
Aug 10, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Aug 10, 2023F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.JStandard
Aug 10, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Aug 10, 2023F578Honor 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.EStandard
Aug 10, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 25, 2019F880Provide and implement an infection prevention and control program.EStandard
Nov 25, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 25, 2019F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Nov 25, 2019F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Nov 25, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 3 civil money penalties totaling $408,742 and 3 payment-denial actions spanning 198 days.

DateTypeFinePayment denial
Oct 2, 2024Fine$212,076
Oct 2, 2024Payment DenialDec 8, 2024 · 38 days
Apr 10, 2024Fine$20,071
Apr 10, 2024Payment DenialMay 14, 2024 · 43 days
Aug 10, 2023Fine$176,595
Aug 10, 2023Payment DenialOct 6, 2023 · 117 days
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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