Dove Healthcare - Regional Vent Center

In the surveyor’s words

From the most serious findings on record at Dove Healthcare - Regional Vent Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF695Mar 18, 2025

  Based on record review and staff interviews, the facility did not ensure 3 of 3 residents (R) reviewed, (R1, R2, and R3) who required oxygen with ventilator (Vent) and respiratory care were provided such services consistent with professional standards of practice, the resident's comprehensive person-centered care plan, and physician orders on the ventilator unit. R1 is ventilator dependent and requires oxygen continuously via the ventilator to maintain oxygen levels above 90% saturation. On [DATE], when R1 was put to bed, staff did not connect R1 to the stationary liquid oxygen tank, but left R1 connected to a portable oxygen tank that runs out of oxygen within ,d+[DATE] hours. Respiratory Therapist (RT) skipped ventilator spot checks for R1 at 2:00 AM on [DATE]. […]

• No harm, potential for more than minimal, widespreadF880Nov 10, 2022

  Based on observation, interview and record review, the facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections, such as COVID-19. During the three-day survey, two residents (R) on contact and droplet precautions, (R179 and R4) were observed in common areas outside of their rooms without source control masks when other residents and staff were present. During the three-day survey, two staff members were observed entering the room of a resident on contact and droplet transmission based precautions (TBP) without putting on the proper personal protective equipment (PPE). This had the potential to affect all 27 residents in the facility. […]

• No harm, potential for more than minimal, patternF628Apr 15, 2026

  Based on record review and interview, the facility did not notify the Ombudsman of residents who were transferred from the facility to a hospital for 5 of 5 residents (R) (R4, R7, R20, R31, R33).The facility was unable to locate a policy pertaining to ombudsman notification for transfers. Example 1 (R7) On 02/27/2026, R7 had a change in condition and was transferred to the hospital. On 04/15/2026 at 10:03 AM, Surveyor interviewed Nursing Home Administrator (NHA) A who stated he was unable to find documentation that the Ombudsman was notified of resident transfers and/or discharges. NHA A stated the staff member responsible for Ombudsman notification left in September of 2025 and NHA A was unable to locate the notifications to the Ombudsman requested. […]

• No harm, potential for more than minimal, patternF812Apr 15, 2026

  Based on observation and interviews, the facility did not ensure the safety of food handling in accordance with professional standards for food service safety. This had the potential to affect all 13 of the 29 residents that eat orally.-Cook did not check the temperature of the fried eggs prior to serving.-Personal food was stored in the resident's refrigerator-Food was dished up in bowls with no label or date on dish or tray.-Cereal was not covered prior to leaving kitchen and going to resident's room.-Rectangular baking pans were on bottom shelf not enclosed, not covered, or inverted. […]

• No harm, potential for more than minimal, patternF812Feb 13, 2025

  Based on observation and interview, the facility did not ensure proper sanitation and food handling practices to prevent the outbreak of foodborne illness by having a separate hand washing sink separate from those used for food preparation for 11 residents (R) (R4, R5, R8, R9, R12, R24, R17, R18, R19, R20, R27). Findings: Per the FDA Code: Food Employees shall clean their hands in a handwashing sink or approved automatic handwashing facility and may not clean their hands in a sink used for FOOD preparation or warewashing. On 02/12/25 at 11:39 AM, Surveyor observed [NAME] C wash hands in a single sink in the dinette kitchen and began to serve 11 lunch meal trays. […]