Ascension Living Via Christi Village Mclean

In the surveyor’s words

From the most serious findings on record at Ascension Living Via Christi Village Mclean, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 15, 2023

  The facility reported a census of 35 residents with 15 selected for review which included three residents reviewed for accidents. Based on observation, interview and record review, the facility failed to ensure staff safely transferred two sampled residents, including Resident (R)27 with the required mechanical sit to stand lift which resulted in three metatarsal (bone in toe) fractures and failed to use a gait belt for R10. Findings included: - Review of Resident (R)27's Physician Order Sheet, dated 11/08/23, revealed diagnosis included atrial fibrillation (rapid, irregular heartbeat), chronic kidney disease, congestive heart failure (a condition with low heart output and the body becomes congested with fluid), and history of back fracture. […]

• No harm, potential for more than minimal, widespreadF812Nov 15, 2023

  The facility reported a census of 35 residents. Based on observation, record review and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the kitchen on 11/14/23 at 10:03 AM, the following areas of concern were noted: 1. The white freezer had food debris on the bottom shelf. 2. The ice machine drainage pipe lacked an air gap and rested directly touching on the grate of the floor drain. 3. The stationary can opener had dried, sticky food debris on the tip and on the surrounding holding device. 4. […]

• No harm, potential for more than minimal, widespreadF880Nov 15, 2023

  The facility reported a census of 35 residents. Based on observation, interview and record review, the facility failed to maintain an effective infection control program with the failure to ensure sanitary storage of clean linen in the beauty shop, lack of housekeeping staff knowledge of cleaning products for clostridium difficile (a spore producing highly transmissible bacteria), use of expired sanitizing wipes, and unsanitary catheter care for resident (R)33. Findings included: - Observation, on [DATE] at 09:30 AM, during the environmental tour of the facility, revealed the beauty shop contained plastic wrapped clean towels placed directly on the floor. Administrative Staff A stated she would expect all staff to ensure towels were stored off the floor to prevent contamination. […]

• No harm, potential for more than minimal, patternF921Nov 15, 2023

  The facility reported a census of 35 residents. Based on observation, interview and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff regarding the parameter of the kitchen floor containing trash and debris. Findings included: - During an initial tour of the kitchen on 11/14/23 at 10:03 AM, the following area of concern was noted: The parameter of the kitchen floor contained food and trash debris throughout. On 11/15/23 at 10:01 AM, Dietary staff BB confirmed the kitchen floor needed to be cleaned around the parameter. The cleaning schedule for the kitchen, used as a cleaning policy, revealed the kitchen floor was to be mopped every shift. […]

• No harm, potential for more than minimal, patternF923Nov 15, 2023

  The facility reported a census of 35 residents. Based on observation and interview, the facility failed to ensure the beauty shop exhaust ventilation remained in good working order for the residents of the facility. Findings included: - Observation, on 11/14/23 at 02:30 PM, with Beauty Shop Operator V, revealed she did not know if the beauty shop had an exhaust fan, but that she provided very few permanents that would create foul odors. Observation, on 11/15/23 at 09:03 AM, with Maintenance Staff U and Administrative Staff A during the environmental tour, revealed the ventilation exhaust fan was non-working. Administrative Staff A stated the fan was checked once a year and staff did not report that fan was not working, and the damper was probably non-functioning. […]