Century Villa Health Care

In the surveyor’s words

From the most serious findings on record at Century Villa Health Care, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 26, 2021

  Based on observation, interview and record review, the facility failed to ensure a resident was free from accident hazards when the facility failed to complete an assessment prior to the use of a stand up lift for 2 of 3 residents reviewed for falls (Residents B and D) and failed to identify the root cause of a fall for 1 of 3 residents reviewed for falls (Resident B). Resident B was transported to the ER after a fall which resulted in a fractured humerus (the arm bone between the shoulder and elbow). Findings include: 1. During an observation, on 8/25/21 at 1:03 p.m., Resident B was sitting up in a wheelchair in the dining room. She had a sling on her right arm and her right foot was elevated on the wheelchair footrest. The record for Resident B was reviewed on 8/25/2021 at 12:45 p.m. […]

• No harm, potential for more than minimal, patternF880Oct 2, 2024

  Based on observation, interview and record review, the facility failed to ensure the correct personal protective equipment (PPE) for contact precautions was used, to perform hand hygiene after resident contact, to utilize enhanced barrier precautions (EBP) when required, to protect clean laundry from contamination, to perform hand hygiene and change gloves while performing wound care, and to keep the indwelling catheter tubing from touching the floor for 7 of 7 residents reviewed for infection control. (Resident 19, 33, 47, 18, 20, 38 and 48) Findings include: 1. During an observation, on 9/27/24 at 8:54 a.m., QMA 5 was giving medications to Resident 28. […]

• No harm, potential for more than minimal, isolatedF550Jun 16, 2026

  Based on interview and record review, the facility failed to ensure residents were treated with respect and dignity for 3 of 3 residents reviewed for respect and dignity. (Resident C, D and E)Findings include: During an interview, on 6/15/26 at 1:30 p.m., the Executive Director (ED) indicated CNA 1 was terminated for poor verbal customer service. There were three (3) alert and oriented residents who indicated CNA 1 was rude and loud when she talked to them.During an interview, on 6/15/24 at 2:40 p.m., Resident E indicated CNA 1 spoke very loud, rude, and in a harsh tone whenever she provided care for her. CNA 1 would talk in a loud and harsh tone to her roommate. Resident E's daughter indicated CNA 1 did not talk to Resident E's roommate with respect and dignity. […]

• No harm, potential for more than minimal, isolatedF628Dec 18, 2025

  Based on interview and record review, the facility failed to ensure a resident's representative received notification in writing of the facility's bed hold policy, the Ombudsman was notified when a resident's was transferred and discharged to the hospital, and discharge paperwork provided to a resident's caregiver did not contain another resident's information for 2 of 3 residents reviewed for discharge. (Resident 37 and C)Findings include:1. The clinical record for Resident 37 was reviewed on 12/12/25 at 2:38 p.m. […]

• No harm, potential for more than minimal, isolatedF684Dec 18, 2025

  Based on interview and record review, the facility failed to ensure Abnormal Involuntary Movement Scale (AIMS) assessments were completed and daily weights were obtained for 2 of 2 residents reviewed for quality of care. (Resident 21 and 46)Findings include: 1. The clinical record for Resident 21 was reviewed on 12/15/25 at 11:39 a.m. The diagnoses included, but were not limited to, bipolar disorder, anxiety disorder, delusional disorder, persistent mood disorder, and dementia without behavioral disturbances. A care plan, dated 8/8/23, indicated Resident 21 was at risk for adverse side effects related to the use of antipsychotic and antidepressant medication. […]