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.
Record summary
Federal record · Q1 202685
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 4, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Dec 4, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Dec 4, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Dec 4, 2025 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint |
| Dec 4, 2025 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint |
| Oct 2, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Oct 2, 2024 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint |
| Oct 2, 2024 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Oct 2, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint |
| Oct 2, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Oct 2, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Oct 2, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 2, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Oct 2, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 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. | E | Complaint |
| Oct 2, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Oct 2, 2024 | F887 | Educate 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. | E | Standard |
| Oct 2, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Oct 2, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 2, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard |
| Oct 2, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 2, 2024 | F732 | Post nurse staffing information every day. | D | Standard |
| Oct 2, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Oct 2, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 2, 2024 | F693 | Ensure 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. | D | Standard |
| Oct 2, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard |
| Oct 2, 2024 | F688 | Provide 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. | D | Standard |
| Oct 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. | E | Standard |
| Oct 2, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 2, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Apr 10, 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. | D | Complaint |
| Apr 10, 2024 | F837 | Establish 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. | C | Complaint |
| Apr 10, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Apr 10, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Apr 10, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 10, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Aug 10, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 10, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Aug 10, 2023 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint |
| Aug 10, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Aug 10, 2023 | F562 | Provide immediate access to any resident. | D | Complaint |
| Aug 10, 2023 | F923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | D | Complaint |
| Aug 10, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| Aug 10, 2023 | F758 | Implement 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. | D | Complaint |
| Aug 10, 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. | E | Complaint |
| Aug 10, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | Complaint |
| Aug 10, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint |
| Aug 10, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Aug 10, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Aug 10, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 10, 2023 | F688 | Provide 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. | D | Complaint |
| Aug 10, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Aug 10, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint |
| Aug 10, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Aug 10, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Aug 10, 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. | E | Complaint |
| Aug 10, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 10, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Aug 10, 2023 | F585 | Honor 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. | E | Complaint |
| Aug 10, 2023 | F584 | Honor 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. | E | Complaint |
| Aug 10, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard |
| Aug 10, 2023 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Aug 10, 2023 | F946 | Provide training in compliance and ethics. | D | Standard |
| Aug 10, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| Aug 10, 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 |
| Aug 10, 2023 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard |
| Aug 10, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard |
| Aug 10, 2023 | F908 | Keep all essential equipment working safely. | F | Standard |
| Aug 10, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| Aug 10, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 10, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Aug 10, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 10, 2023 | F803 | Ensure 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. | D | Standard |
| Aug 10, 2023 | F760 | Ensure that residents are free from significant medication errors. | K | Standard |
| Aug 10, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Standard |
| Aug 10, 2023 | F693 | Ensure 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. | D | Standard |
| Aug 10, 2023 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | J | Standard |
| Aug 10, 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 |
| Aug 10, 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. | E | Standard |
| Aug 10, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Nov 25, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 25, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 25, 2019 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Nov 25, 2019 | F693 | Ensure 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. | D | Standard |
| Nov 25, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
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.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 2, 2024 | Fine | $212,076 | — |
| Oct 2, 2024 | Payment Denial | — | Dec 8, 2024 · 38 days |
| Apr 10, 2024 | Fine | $20,071 | — |
| Apr 10, 2024 | Payment Denial | — | May 14, 2024 · 43 days |
| Aug 10, 2023 | Fine | $176,595 | — |
| Aug 10, 2023 | Payment Denial | — | Oct 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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