Brethren Care Village Health Care Center

In the surveyor’s words

From the most serious findings on record at Brethren Care Village Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jun 25, 2026

  Based on observation, medical record review, staff interviews, review of a facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to ensure proper infection control practices were maintained for residents in isolation. This affected one (#86) of one residents reviewed for transmission-based precautions with the potential to affect all seven (#19, #27, #48, #49, #83, #87, and #88) additional residents that resided on the skilled unit. […]

• No harm, potential for more than minimal, patternF880Sep 26, 2022

  Based on medical record review, observations, staff interview, review of the facility's infection control logs, review of facility in-services, review of the Centers for Disease Control and Prevention (CDC) guidance, review of the manufacturer's instructions, and review of the facility's policy, the facility failed to prevent and respond to an increased pattern of urinary tract infections (UTIs). This affected two (Resident #1 and #28) of two residents reviewed for urinary tract infections. The facility also failed to complete blood sugar checks in a sanitary manner. This affected three (Resident #1, #18, and #37) of nine residents who required blood sugar checks. The facility census was 75. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF569Jun 25, 2026

  Based on medical record review, review of resident trust statements, review of a written check, and staff interview, the facility failed to ensure resident funds were conveyed for final accounting of resident funds within 30 days of death. This affected one (#89) of one residents reviewed for personal funds final conveyance. The facility census was 64.Findings include:Review of the medical record for Resident #89 revealed the resident was admitted to the facility on [DATE]. Diagnoses included chronic pulmonary disease, diabetes mellitus, and kidney disease. Further review of the medical record revealed Resident #89 expired at the facility on [DATE].Review of Resident #89's personal funds account balance as of [DATE] revealed the resident had $300.06 in the account. […]

• No harm, potential for more than minimal, isolatedF742Jun 25, 2026

  Based on medical record review, staff interview, and review of a facility policy, the facility failed to ensure a care plan was initiated to provide interventions for a resident with post-traumatic stress disorder. This affected one (#8) of one residents reviewed for post-traumatic stress disorder. The census was 64.Findings include:Review of the medical record for Resident #8 revealed an admission date of 03/13/22. Diagnoses included post-traumatic stress disorder (PTSD), Parkinson's disease, Alzheimer's disease, hypertension, and heart failure.Review of Resident #8's Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was assessed with PSTD as a diagnosis and was cognitively impaired.Review of Resident #8's comprehensive care plan initiated on 07/19/22 revealed no… […]

• No harm, potential for more than minimal, isolatedF692Sep 26, 2022

  Based on medical record review, staff interview, and review of the facility's policy, the facility failed to timely and routinely assess a resident who had significant weight loss two months in a row. This affected one (Resident #60) of three residents reviewed for nutrition. The facility identified eight residents with unplanned significant weight loss/gain. The facility census was 75. Findings include: Review of Resident #60's medical record revealed the resident was admitted to the facility on [DATE]. […]