American Village

In the surveyor’s words

From the most serious findings on record at American Village, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 25, 2026

  Based on interview and record review, the facility failed to protect the resident's right to be free from physical and mental abuse by another resident when one resident grabbed another resident's neck. Using the reasonable person concept, this action would likely lead to fear and distress for 1 of 2 residents reviewed for abuse. (Resident 127)Findings include: The clinical record for Resident 127 was reviewed on 3/17/26 at 3:07 p.m. The resident's diagnosis included, but was not limited to, Alzheimer's disease (progressive irreversible neurodegenerative disorder that causes the brain cells to die, the brain to shrink, and significant impairment of memory, thinking, and behavior). […]

• No harm, potential for more than minimal, patternF761Feb 25, 2025

  Based on observation, interview, and record review, the facility failed to remove discontinued resident medications, refrigerate a medication requiring refrigeration, and label open medications in 2 of 3 medication carts observed (Residents 22, 49, 60, 75, 76, 105). Findings include: 1. An observation was conducted of the 200-hall medication cart, on [DATE] at 9:55 a.m., with Licensed Practical Nurse (LPN) 4. The medication cart contained an insulin degludec pen (type of long-acting insulin for diabetes) for Resident 60 that was opened with no open date label. Another insulin degludec pen for Resident 60, delivered on [DATE], was unopened/unused and not being refrigerated per manufacturer instructions. […]

• No harm, potential for more than minimal, patternF550Jan 10, 2024

  Based on observation, interview and record review, the facility failed to ensure staff provided care services in a manner that promoted privacy, respect, and dignity, and to provide an environment where residents were able to express grievances without fear of reprisal for 11 of 12 residents reviewed for dignity. (Residents' B, C, D, S, T, SS, 45, 69, 80, 85 and an Anonymous Resident) Findings include: 1. During a Resident Council meeting on 1/3/24 at 2:05 p.m., Resident 85 indicated that the staff treat you like s*** after they are talked to by the management staff about your complaint. The staff that were complained about comes back and treat you badly after you complain about care that was provided. Residents are scared to complain. […]

• No harm, potential for more than minimal, patternF677Jan 10, 2024

  Based on observation, interview and record review, the facility failed to ensure timely assistance was provided with eating, nail care, incontinent care, residents getting out of bed, and ensure residents that need assistance with incontinence was provided 1 incontinent brief at a time for 8 of 12 residents reviewed for Activities of Daily Living. (Residents' B, H, J, K, M, R, S and SS) Findings include: 1. The clinical record for Resident SS was reviewed on 1/5/24 at 9:00 a.m. The diagnosis for Resident SS included, but was not limited to, fracture of left femur. The resident was admitted to the facility on [DATE]. A nutrition care plan dated 1/4/23 indicated Resident SS was to be assisted with feeding. […]

• No harm, potential for more than minimal, patternF684Jan 10, 2024

  Based on interview and record review, the facility failed to administer medications as ordered for 1 of 5 residents reviewed for unnecessary medications and 4 of 5 randomly reviewed residents' for medications administrations; ensure physician orders were followed regarding elevation of bilateral lower extremities (BLE) for 1 of 1 resident reviewed for pressure ulcers, and to timely update and administer a physician's order for a wound treatment and to apply podus (pressure relief) boots as ordered by a physician for 1 of 3 residents reviewed for urinary catheters.(Residents' B, H, T, 40, 44, 83 and 118,) Findings include: 1. The clinical record for Resident B was reviewed on 1/4/24 at 10:00 a.m. […]