Baptist Village, Inc.

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Apr 27, 2026

  Based on staff interviews, record review, review of the facility documentation, and review of the facility's policy titled MDS (Minimum Data Set) - Care Plan, the facility failed to implement a person-centered, comprehensive care plan related to the administration of medication as ordered for one of nine residents (R) (R1) reviewed for a medication administration. Specifically, the facility administers Methotrexate 2.5 mg (milligram) once a day instead of once weekly, as ordered. […]

• Immediate jeopardy, isolatedF757Apr 27, 2026

  Based on record review, staff interviews, and the facility policy titled Pharmacy Services and Medication Regimen Review (MRR), the facility failed to ensure that one of nine residents (R) (R1) was free from an unnecessary medication related to an excessive dose of Methotrexate Sodium tablets. Specifically, the facility administers Methotrexate 2.5 mg (milligram) once a day instead of once weekly, as ordered. As a result, R1 experienced medical complications requiring a transfer to an acute care hospital and expired on [DATE] due to Methotrexate toxicity.On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's… […]

• Immediate jeopardy, isolatedF760Apr 27, 2026

  Based on record review, staff interviews, and the facility policy titled Pharmacy Services and Medication Regimen Review (MRR), the facility failed to ensure that one of nine residents (R) (R1) was free from a significant medication error related to facility staff administering Methotrexate 2.5 mg (milligram) once a day instead of once weekly, as ordered. As a result, R1 experienced medical complications requiring a transfer to an acute care hospital and expired on [DATE] due to Methotrexate toxicity.On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Administrator and Director of Nursing (DON) were informed… […]

• Actual harm, isolatedF689Sep 16, 2022

  Based on record review, staff interviews, and the review of the policy entitled, Safety Guidelines for Resident Safety, the facility failed to ensure that Activities of Daily Living (ADL) care was provided by using appropriate techniques, to prevent accidents, for one of three residents (R#1) reviewed. Actual harm was identified on 6/29/2022, when a Certified Nursing Assistant (CNA), provided ADL care to R#1, who rolled resident away from her while providing ADL care. Subsequently, R#1 fell from the bed resulting in a cervical fracture. Findings include: A review of the facility policy, Safety Guidelines for Resident Safety under General Instructions, bullet number eight (8) states, Support the residents' body well during all positioning, transferring and ambulation. […]

• No harm, potential for more than minimal, widespreadF882Apr 27, 2023

  Based on observation, staff interviews, and review of facility policy titled, Infection Preventionist the facility failed to designate at least one qualified Infection Preventionist (IP), who is responsible for the facility's Infection Prevention, Control & Immunizations (IPCP). Findings include: Review of facility policy titled, Infection Preventionist revised 9/16/2021 indicated Policy Statement: The Infection Preventionist is responsible for coordinating the implementation and updating of our established infection prevention and control policies and practices. An observation on 4/27/2023 at 11:00 a.m. revealed the facility does not have a designated Infection Preventionist (IP) nurse. An interview with Director of Nursing (DON) and Administrator on 4/27/2023 at 11:10 a.m. […]