Anchorage Rehabilitation And Wellness Center
Anchorage Rehabilitation and Wellness Center in SALISBURY, MD — inspection on November 7, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
using data to continuously improve processes and outcomes to enhance the quality of life of the residents.
This meeting was attended by 8 QAPI Committee members.
The identified problem statements included the following: Facility failed to respond to abnormal lab timely Facility failed to notify the Physician and the Resident Representative of change in condition Facility is not following daily clinical meeting progress Facility failed to assess an NPO resident after receiving something by mouth.On 11/6/25 at 9:14 AM, the Director of Nursing (DON) was informed of these findings and confirmed that the Physician and Resident Representative were not notified, and that an incident or change in condition report was not completed.On 11/6/25 at 9:30 AM, the Administrator in Training (AIT), the Executive Director and the Regional Clinical Support Nurse were notified of these concerns and acknowledged the findings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/07/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Anchorage Healthcare Center
105 Times Square Salisbury, MD 21801
SUMMARY STATEMENT OF DEFICIENCIES
Based on a review of a complaint, record review, and interview, it was determined that the facility failed to address an abnormal laboratory result and monitor a resident for signs of aspiration following an incident that potentially required a Physician intervention.
This was evident for 1 (Resident #1) of 33 residents reviewed during the complaint survey.The facility implemented effective and thorough corrective measures following this incident prior to the start of this survey.
The facility's plan and action were verified during this survey; therefore, this deficiency was found to be Past Noncompliance with a compliance date of 2/12/25.
The findings include:On 11/5/25 at 7:23 AM, a review of Complaint #324972 indicated concerns regarding neglect and unexpected death of the resident. A review of Resident #1's medical record revealed that on 1/3/15, Resident #1 had an abnormally high [NAME] Blood Cell count (WBC). A WBC count measures the number of these cells in the blood, which are important for fighting infection and disease.
The test helps diagnose or monitor conditions like infections or inflammation.
However, the facility failed to document a change of condition.Further review of Resident #1's medical records revealed that the resident was on NPO diet nil per os or nothing by mouth related to difficulty of swallowing. On 1/10/25, Registered Nurse (RN#28) documented that Resident #1 had a grape ice pop on his/her hand, with a large piece in his/her mouth.
However, no evidence indicated that a change in condition was also documented nor a monitoring for signs of aspiration was initiated.A Quality Assessment and Performance Improvement (QAPI) meeting was held on 2/12/25. QAPI is a comprehensive, data-driven program required for long-term care (LTC) facilities that involves setting and maintaining standards and using data to continuously improve processes and outcomes to enhance the quality of life of the residents.
This meeting was attended by 8 QAPI Committee members.
The problem statement identified that the Facility failed to respond to abnormal lab timely and Facility failed to assess an NPO resident after receiving something by mouth.On 11/6/25 at 9:14 AM, the Director of Nursing (DON) was informed of these findings and confirmed that an incident or change in condition report was not completed.On 11/6/25 at 9:30 AM, the Administrator in Training (AIT), the Executive Director and the Regional Clinical Support Nurse were notified of these concerns and acknowledged the findings.
Facility ID: