Asistencia Villa Healthcare Center

In the surveyor’s words

From the most serious findings on record at Asistencia Villa Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 11, 2023

  Based on observation, interview, and record review, the facility failed to ensure all mobility equipment was safe to be used on residents during transfers from bed to chair, when an electric lift (a mobility tool used to allow a person to be lifted and transferred with minimum physical effort. A weighing scale can be attached to the lift to weigh residents when lifted) used by two Certified Nursing Assistants (CNA 1 and 2) to transfer a resident (Resident 8) had a base that did not securely lock into place, causing the lift to tilt and the digital scale to hit Resident 8 on the forehead. […]

• No harm, potential for more than minimal, widespreadF880Dec 18, 2025

  Based on observations, interviews and record review, the facility failed to establish and maintain effective infection prevention and control practices for nine of ten sampled residents (Residents 2, 11, 33, 36,59, 79, 81, 97, and 103) when: 1. For Resident (81), the oxygen tubing (a flexible plastic tube to deliver oxygen from the oxygen concentrator to the resident) was resting on top of the oxygen concentrator (a medical device that pulls in room air and concentrates oxygen to supplemental oxygen to the resident), open to air and not stored inside a respiratory equipment bag, on December 15, 2025.2. Two urinary catheter bags (a medical bag used for collecting urine) were touching the floor for Residents 2 and 59 on December 15, 2025.3. […]

• No harm, potential for more than minimal, widespreadF908Dec 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure the call light system (a communication device linking patients/residents to staff, allowing them to request assistance via a button or pull cord, alerting a central station for timely help) and shower equipment were maintained in safe and working condition for resident use when:1. One wall mounted call light located in one of two facility showers, did not have a pull cord accessible for resident use.This failure resulted in the inability for residents or staff to have a call light readily available in the shower to summon staff assistance in case of an emergency.2. […]

• No harm, potential for more than minimal, widespreadF812Oct 17, 2024

  Based on observations, interviews, and record review, the facility failed to maintain a sanitary kitchen when: 1. There was a cabinet that stored a juice dispenser, the door to the cabinet had a sticky residue. Inside the cabinet there was a red juice spill. The cabinet under the steam table had food crumbs and trash. There was food residue around the floor sink under the steam table. This had the potential to attract pests and for microorganisms' growth. 2. The industrial mixer was stored with white food residue on the mixer. This had the potential to contaminate food being mixed in the mixer. 3. The ice machine had some brown build-up in the area where ice is formed. This had the potential to contaminate the ice. […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2023

  Based on observation, interview, and record review, the facility failed to maintain professional standards for food service safety when the Cook (Cook 2) was not wearing a facial hair restraint while serving food during lunch on August 8, 2023. This failure had the potential to expose 90 medically compromised residents who receive food from the kitchen to foodborne illness due to food contamination. Findings: During an observation on August 8, 2023, at 12:14 PM, in the kitchen, Cook 2 did not wear a facial hair restraint during lunch tray line (when cook serves food on plates for each resident). Cook 2 had visible facial hair. […]