Doverwood Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 27, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to ensure that dented cans were removed from the dry storage area in the kitchen. This had the potential to affect all 83 residents residing in the facility. The census was 83.Findings include:Observations of the kitchen dry storage area on 06/23/25 at 10:04 A.M. with the Chef revealed 13 dented cans amongst the canned goods. The dented cans included two (2) seven-pound (lb.) cans of pudding, 2 five lb. cans of spinach, eight (8) six lb. cans of peaches, and one (1) seven lb. can of refried beans. During an interview on 06/23/25 at 10:06 A.M., the Chef stated she and the cooks put the canned food deliveries away. She stated [NAME] #2 stocked the canned peaches the prior Monday. […]

• No harm, potential for more than minimal, patternF925Jun 27, 2025

  Based on observation, resident and resident representative interview, staff interview, medical record review, facility document and policy review, and review of corrective action documents, the facility failed to execute an effective pest control program for the prevention and control of mice in the facility. This affected four (#5, #12, #13, and #20) of 83 residents residing in the facility. The census was 83. Findings include: 1. Review of Resident #5's medical record revealed an admission date of 11/14/24. […]

• No harm, potential for more than minimal, isolatedF658Jun 27, 2025

  Based on observation, staff interview, medical record review, and facility document and policy review, the facility failed to ensure services were provided to meet professional nursing standards of clinical practice when staff failed to date or initial intravenous tubing or a peripherally inserted central catheter line dressing when changed and failed to date and initial a wound dressing as required. This affected one (#41) of five residents reviewed for care and services. The census was 83. Findings include: Review of Resident #41's medical record revealed the resident admitted to the facility on [DATE] and most recently admitted the resident on 06/06/25. […]

• No harm, potential for more than minimal, isolatedF842Jun 27, 2025

  Based on medical record review and staff interview, the facility failed to ensure wound care was documented accurately for one (#82) of three residents sampled for pressure ulcers. The census was 83. Findings include:Review of Resident #82's medical record revealed an admission date of 02/05/25. Diagnoses included multiple sclerosis, morbid obesity, hyperlipidemia, major depressive disorder, anxiety disorder, restless leg syndrome, essential hypertension, pulmonary embolism, constipation, neurogenic bowel, and neuromuscular dysfunction of the bladder. […]

• No harm, potential for more than minimal, isolatedF695Dec 11, 2024

  Based on medical record review, staff interview, review of the transportation schedule, and review of the facility statement form the facility failed to ensure a resident had an adequate supply of oxygen when leaving the facility for a medical appointment. This affected one (#91) resident of three residents reviewed for respiratory care and services. The facility census was 90. Findings include: Medical record review for Resident #91 revealed an admitted [DATE]. Diagnoses included hemiplegia, hemiparesis following stroke, narcolepsy, type two diabetes mellitus, chronic heart failure, hypertension, pulmonary embolism, kidney failure and a history of covid. […]