Cross Keys Village-Brethren Home Community, The

In the surveyor’s words

From the most serious findings on record at Cross Keys Village-Brethren Home Community, The, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 15, 2026

  Based on facility policy review, clinical record review, review of facility investigation documentation, and staff interviews, it was determined that the facility failed to provide adequate supervision and implement interventions to prevent falls, which resulted in actual harm as evidenced by a fall resulting in a laceration requiring sutures for one of three residents reviewed (Resident 1).Findings include: Facility policy, titled Fall Risk Program, reviewed March 2026, read, in part, Objectives: to decrease the number of falls and to prevent injury to Residents. Procedure Responsibility 3. Individualized interventions identified to decrease falls will be placed on Resident Care Guide (RCG) to communicate to staff.5. […]

• Actual harm, isolatedF600Aug 26, 2021

  Based on facility policy review, clinical record review, facility incident reports, and staff interviews it was determined that the facility failed to ensure that residents were free of neglect which resulted in actual harm, evidenced by multiple rib fractures, for one of three residents reviewed (Resident 2). Findings include: Review of facility policy, Abuse, Neglect, Exploitation, and Misappropriation of Resident Property Reporting and Investigation of Allegations, revised November 2018, revealed, [The facility] shall provide a safe environment where residents are not subject to mental, physical, sexual or verbal abuse, neglect, exploitation, or misappropriation of residents' property by staff, residents, visitors, family members or other individuals Neglect - means failure of the… […]

• Actual harm, isolatedF689Aug 26, 2021

  Based on clinical record review, review of facility investigation documentation, and staff interview, it was determined that the facility failed to ensure that interventions were put into place to prevent accident hazards resulting in multiple fractured ribs following a fall for one of three residents reviewed (Resident 2). Findings include: Review of Resident 2's clinical record revealed diagnoses that included multiple [CONDITION(S)] (disease in which the immune system eats away at the protective covering of nerves disrupting communication between the brain and the body) and dementia (impaired ability to remember, think, or make decisions that interferes with doing everyday activities). […]

• No harm, potential for more than minimal, patternF812Mar 13, 2025

  Based on observation, facility policy review, and staff interview, it was determined that the facility failed to ensure that food was prepared and served under sanitary conditions in the main facility kitchen. Findings include: Review of the facility policy titled, Uniform Dress Code, last revised January 2025, stated, Restrain all facial hair with beard net/restraint. Observation on March 10, 2025, at 10:54 AM revealed Employees 3 and 4 (Dietary Aides) working in and around the kitchen with uncovered beards. During an immediate interview with Employee 2 (Director of Dining Services) he stated that he would review the policy. During an interview with the Nursing Home Administrator on March 12, 2025, at 1:46 PM he agreed that Employees 3 and 4 should have been wearing beard nets. […]

• No harm, potential for more than minimal, patternF812Jun 29, 2023

  Based on policy review, observations, manufacturer packaging, and staff interviews, it was determined that the facility failed to store food in accordance with professional standards for food service safety in the main kitchen and four of four pantries. Findings include: Review of facility policy, titled Cross Keys Village- The Brethren Home Food Storage Policy and Procedures last revised [DATE], revealed Any prepared foods, leftovers, or open containers must be stored in refrigeration at a temperature under 41 degrees Fahrenheit, be labeled and dated and must be discarded after 3 days. Observation in the main kitchen walk-in freezer on [DATE] at 10:14 AM, revealed: one bag of frozen corn with a use by date of [DATE]; and one open bag of sweet potato fries without a label or date. […]