Bonne Vie

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 14, 2021

  Based on interview and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 12 residents reviewed for accidents. (Resident #3) The facility did not ensure Resident #3 was adequately supervised when CNA C left Resident #3 alone in the shower and returned to find her on the floor. Resident #3 sustained a fractured left ankle. This failure could place residents with a history of falls at risk for accidents and injuries. Findings included: An MDS dated [DATE] indicated Resident #3, was a [AGE] year-old female admitted on [DATE] with diagnoses of dementia, [CONDITION(S)], [CONDITION(S)], and [CONDITION(S)]. The MDS indicated Resident #3's had moderate cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF847Oct 25, 2023

  Based on record review and interview, the facility failed to ensure the arbitration agreement contained all the required elements for 1 of 1 facility reviewed for Arbitration Agreements. The facility did not ensure the arbitration agreement contained the required element of informing residents of their right to rescind in 30 calendar days of signing the agreement. This failure could place the residents or the residents' responsible parties in binding agreements not fully understood, cause a loss of their legal rights, and cause negative psychological issues. […]

• No harm, potential for more than minimal, patternF684Dec 3, 2025

  Based on interview, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 3 residents (Resident #1) reviewed for quality of care. The facility failed to conduct a comprehensive bowel elimination assessment and document 's bowel pattern in the electronic health record for 2 of 3 shifts on 11/28/2025 and 2 of 3 shifts on 11/29/2025. This failure could place residents at risk for not receiving bowel assessments leading to fecal impactions. […]

• No harm, potential for more than minimal, patternF656Dec 18, 2024

  41057 Based on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan to meet each resident's medical, nursing, mental, and psychosocial needs for 3 of 24 residents reviewed for care plans. (Residents #28, #42, & #87) The facility did not include interventions and goals for Resident #28's hospice care plan. The facility did not have a care plan to address Resident #42's use of Trazadone. The facility did not have a care plan to address that Resident #87 was PASRR positive and refusing services. These failures could place residents at risk of not having their individual needs met and not receiving needed services. Findings included: 1. […]

• No harm, potential for more than minimal, patternF812Aug 24, 2022

  Based on observation, interview and record review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen. The facility failed to ensure kitchen equipment was clean and staff used sanitary measures while preparing food. This failure could place the residents at risk of food borne illnesses. Findings included: During initial observations of the kitchen on 08/22/22 at 8:38 a.m., the following were noted: *There was a brown splattered substance on the surface area surrounding the coffee dispenser spigots; and *There was a buildup of black substance to the surrounding surface area of the juice dispenser spigots. […]