Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wellsville Manor during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in the kitchen, with issues such as dried-on food and liquid substances on trash cans, food debris on preparation shelves, and buildup in freezers and on utensils. Dietary staff confirmed these concerns, and the facility lacked a policy for kitchen cleanliness.
The facility inaccurately assessed the use of bedrails as restraints for four residents, despite observations and interviews confirming their use for mobility and independence. The MDS coding errors affected 31 residents' assessments, contradicting the facility's restraint-free policy.
The facility failed to complete a Significant Change MDS within the required 14-day period for two residents admitted to hospice care. One resident with dementia and another with a history of CVA were both admitted to hospice, but the facility did not complete the necessary assessments. The care plans were revised without proper instructions for hospice care, and the facility was unaware of the requirement for significant change MDS upon hospice admission.
A resident with severe cognitive impairment was admitted to hospice care for cerebrovascular disease, but the facility failed to update the care plan with hospice care instructions. Despite a physician's order and facility policy requiring timely updates to care plans, the revised care plan lacked necessary guidance for staff, leading to a deficiency finding.
A resident with COPD did not receive timely nebulizer treatment due to the facility's lack of appropriate-sized masks, resulting in a delay of medication administration. The facility had only pediatric masks available, which were unsuitable for the resident, leading to a missed dose and a significant delay in treatment.
Unsanitary Kitchen Conditions Identified
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, which could potentially lead to foodborne bacteria affecting the residents. During an initial tour of the kitchen, several areas of concern were identified. These included trash cans in the dishwashing and handwashing areas that had dried-on food and liquid substances on all sides and lids. Additionally, the shelf under a preparation table, which held plastic pitchers, cutting boards, and clean eating utensils, contained food debris. The inside of the microwave was found to have dried-on food on all sides and the top, and four colored cutting boards were noted to have deep grooves and discoloration. Further observations revealed an oscillating fan with a buildup of dust, dried-on food substances on one side of the stove, and a buildup of food substances and a black substance in the rubber door seals of one of the reach-in freezers. Three plastic tubs beneath a prep table, which held clean cooking utensils, contained a sticky substance, and five plastic containers on a wire rack had a heavy buildup of food debris and a sticky substance on the container latches. The table holding the large stand mixer also had a buildup of food substance on the bottom shelf. Dietary staff confirmed these concerns and acknowledged the need for a cleaning schedule. The facility lacked a policy for kitchen cleanliness, contributing to the unsanitary conditions observed.
Inaccurate MDS Assessments for Bedrail Use
Penalty
Summary
The facility failed to complete accurate assessments for four residents regarding the use of bedrails as restraints. Resident 23, who was cognitively intact with a BIMS score of 15, used bedrails for repositioning and independence, not as restraints. Observations and interviews confirmed that the bedrails did not restrict her movement, yet the MDS inaccurately coded them as restraints. This error was acknowledged by the facility's administrative nurse, who confirmed that the MDS Coordinator had inaccurately coded the use of bedrails, affecting 31 residents' assessments. Resident 37, with severe cognitive impairment, also used bedrails for mobility and independence. Despite the resident's ability to move without limitation and the bedrails aiding her balance, the MDS inaccurately recorded the bedrails as restraints. Interviews with staff confirmed that the facility did not use bedrails as restraints, and the administrative nurse verified the coding error, which was consistent with the facility's policy of maintaining a restraint-free environment. Similarly, Residents 2 and 13 were inaccurately assessed regarding their use of bedrails. Resident 2, with normal cognitive status, used bedrails for mobility and independence, while Resident 13, with moderately impaired cognitive status, used bedrails for positioning assistance. In both cases, the MDS inaccurately coded the bedrails as restraints, contrary to the facility's policy and the residents' actual use of the bedrails. The administrative nurse confirmed these inaccuracies, highlighting a systemic issue with the MDS assessments related to bedrail use.
Failure to Complete Significant Change MDS for Hospice Admissions
Penalty
Summary
The facility failed to complete a Significant Change Minimum Data Set (MDS) within the required 14-day period for two residents who were admitted to hospice care. Resident 19, diagnosed with dementia, was admitted to hospice care for cerebrovascular disease, but the facility did not complete the necessary significant change MDS. The resident's care plan was revised without including instructions regarding hospice care, and the facility was unaware of the requirement to complete a significant change MDS upon hospice admission. Similarly, Resident 44, who had a history of cerebrovascular accident (CVA) and moderate cognitive impairment, was admitted to hospice care. However, the facility again failed to complete the significant change MDS as required. The resident's care plan indicated hospice care for end-of-life support, but the facility did not recognize the need for a significant change MDS. In both cases, the facility utilized the Resident Assessment Instrument (RAI) for MDS completion but did not adhere to the regulatory requirement for significant change assessments.
Failure to Update Care Plan for Hospice Admission
Penalty
Summary
The facility failed to complete a comprehensive care plan for a resident who was admitted to hospice care. The resident, identified as having severe cognitive impairment due to dementia, was documented in the Significant Change Minimum Data Set (MDS) as not having a condition or chronic disease that would result in a life expectancy of less than six months during the assessment period. However, a subsequent Quarterly MDS indicated that the resident had a condition that could result in a life expectancy of less than six months and was receiving hospice care. Despite the physician's order to admit the resident to hospice care for cerebrovascular disease, the care plan, revised on 08/13/24, did not include instructions for staff regarding hospice care. The facility's policy stated that care plans should be updated timely when changes in a resident's condition occur, including when a resident is admitted to hospice care. The lack of comprehensive instructions in the care plan for hospice care was identified as a deficiency during the survey.
Inadequate Nebulizer Equipment for Resident with COPD
Penalty
Summary
The facility failed to provide appropriate nebulizer equipment for a resident with chronic obstructive pulmonary disease (COPD), leading to a deficiency in respiratory care. The resident, who had a normal cognitive status and required oxygen therapy, was prescribed ipratropium-albuterol breathing treatments every six hours. However, on one occasion, the treatment was delayed because the facility only had pediatric-sized masks, which were unsuitable for the resident. This resulted in the resident missing a scheduled dose and receiving the next dose 15 and a half hours later. The issue was identified when a Certified Medication Aide attempted to administer the medication and found the mask did not fit properly. Despite efforts to locate an appropriate mask or inhalation device within the facility, none were available. The deficiency was confirmed through interviews with facility staff, who acknowledged the receipt of incorrect mask sizes and the subsequent need to obtain the correct supplies from a local retailer. The facility's policy on nebulizer treatment emphasized the importance of using proper equipment to ensure effective medication delivery, which was not adhered to in this instance.
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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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Nursing homes near Wellsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Baldwin Healthcare & Rehab Center, Llc | 7.2 mi | — | 1 | 0 |
| Meadowbrook Rehabilitation Hospital | 10.2 mi | — | 21 | 1 |
| Rock Creek Of Ottawa | 13.6 mi | — | 1 | 0 |
| Spring Hill Care And Rehab | 14.3 mi | — | 1 | 1 |
| North Point Skilled Nursing Center | 14.7 mi | — | 0 | 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 August 2026) and official state health department websites.