Wellington Care Center
Wellington Care Center in Wellington, TX — inspection on January 30, 2026.
Found 3 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
During an interview on 01/29/2026 at 3:23 PM, the MDS LVN stated she had worked for the facility for an extended period but did not provide a specific date.
She stated the RAI was the policy she followed for completing MDS assessments.
The MDS LVN stated she completed the Annual MDS on 01/07/2025 and stated she did not realize she needed to complete a Significant Change in Status Assessment when a resident elected to receive Hospice Care.
The MDS LVN confirmed the 01/07/2025 Assessment should not have been an Annual but a SCSA.
The MDS LVN stated a possible negative outcome for not completing an accurate MDS Assessment would be a lapse in care.
During an interview on 01/30/2026 at 10:00 AM, the DON stated the policy used in completing MDS assessments was the RAI.
She stated she was not familiar with how to complete an MDS Assessment or the time frames.
The DON stated the MDS LVN was responsible for completing the assessments timely and correctly.
During an interview on 01/30/2026 at 10:09 AM, the Corp RN stated when a resident elected hospice, A Significant Change in Status Assessment was required.
Record review of Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.20.1, dated October 2025, reflected the following: An SCSA is required to be performed when a terminally ill resident enrolls in a hospice program (Medicare-certified or State-licensed hospice provider) or changes hospice providers and remains a resident at the nursing home.
The ARD must be within 14 days from the effective date of the hospice election (which can be the same or later than the date of the hospice election statement, but not earlier than). An SCSA must be performed regardless of whether an assessment was recently conducted on the resident.
This is to ensure a coordinated plan of care between the hospice and nursing home is in place.
675945 01/30/2026
Wellington Care Center 1506 Childress Street Wellington, TX 79095
substitutions to be documented on the menu substitution list.
The RD stated she expected hairnets,
the past 3 months, the substitution of green beans for fried pickles on the lunch meal for residents on
DM stated she had been trained by the dietician in running the kitchen and she had trained staff to label, date and keep foods closed to air.
She stated she expected all staff to label date and close all foods to air as the food was used.
She stated she had not been aware this had not been done.
The DM stated she was not aware the freezer had several food items that were expired, and she would throw them out.
The DM stated she was aware all staff had to keep hair, moustache and beards covered while in the kitchen.
She stated she had been aware the beard cover did not cover [NAME] B's beard and moustache very well.
She stated that food borne illness could result from all these issues.
Record review of the facility policy titled ' Preventing Foodborne Illness- Employee Hygiene and Sanitary Practices' dated 2001 documented: Hairnets and beard restraints are worn when cooking, preparing or assembling food to keep hair from contacting exposed food, clean equipment, utensils and linens.
Record review of the facility's policy titled, 'Food Storage and Supplies' dated 2012, documented:Opened packages of food are stored in closed containers with covers or in sealed bags and dated as to when opened.
Record review of the facility's policy titled, ' Food Safety' dated 2012, documented:Food is to be wrapped or sealed and covered in clean containers.
Opened food shall be labeled, dated, and stored properly.
Perishable foods shall be used within 7 days or less.
Record review of the facility's policy titled, ' Dietary Food Service Personnel Policy and Procedures ' dated 2012 documented:Hairnets or hats covering the hairline are worn at all times. [NAME] guards are required for facial hair.
Record review of the facility's policy titled, ' Left Over Foods' dated 2012, documented:Leftover foods shall be refrigerated, dated, labeled and properly covered after meal service.
Record review of the facility's policy titled, ' Storage Refrigerators ' dated 2012, documented:Food must be covered when stored, with a date, label, identifying what is in the container.
Record review of the facility's policy titled, ' Infection Control ' dated 2012, documented:Clean hair is required. It is to be covered with an effective hair restraint.
Facial hair is to be closely trimmed and is to be covered with a hair restraint.
Record review of the facility's policy titled, ' Nutrient Retention of Foods' dated 2001, documented:
Record review of the facility's policy titled, ' Menus ' dated 2012, documented:Menus are planned to meet the Recommended Dietary Allowances of the Food and Nutrition al Board.
Alternates will be planned and recorded.
Alternates will be of comparable nutritive value, and the alternate food shall come from the same food group. If any meal served varies from the planned menu, the change and the reason for the change shall be noted on the substitution log.
The menus will be prepared as written using standardized recipes.
Record review of the facility's policy titled, ' Menu Substitution Form ' dated 2012, documented:The DM will be responsible for making sure the menu substitution form is completed when items on the menu must be substituted.
Menu Substitution Form should be filled out on every menu substitution.
Substitutions must be of equal value as the item to be substituted (ie.
Meat for meat, vegetable for vegetable)
675945 01/30/2026
Wellington Care Center 1506 Childress Street Wellington, TX 79095
and dry around the juncture of the catheter.19.
Remove gloves21.
Wash hands.
Record review of the
Fundamentals of Infection Control Prevention 2019 manual, revealed the following: A variety of
facility.Hand Hygiene-Before and after direct resident contact.-Upon and after coming in contact with a resident intact skin.-after removing gloves.Gloving-Wearing gloves does not replace the need for hand washing because gloves may have small inapparent defects or be torn during use, and hand can become contaminated during removal of gloves.
Failure to change gloves between resident contact is an infection control hazard.
Record review of the facility provided policy titled Perineal Care effective 05/11/2022, revealed the following: Important Points - Always perform hand hygiene before and after glove use.