Farmington Village NRSG

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 1, 2026

  Based on observation, interview, and record review, the facility failed to accurately assess a resident for elopement risk, ensure adequate supervision, and develop and implement interventions to prevent a resident from eloping on multiple occasions for one of twenty-four residents (R65) reviewed for elopement in the sample of 64. These failures resulted in R65 exiting the building unsupervised on multiple occasions, creating a likelihood of serious injury, harm, or death and put R65 at risk for suffering falls with major injury, weather exposure, and getting lost without the ability to summon help.The Immediate Jeopardy began on 11/12/25 when R65 was inaccurately assessed as being at zero risk for elopement despite documented elopement-risk behaviors. […]

• Actual harm, isolatedF689Mar 8, 2023

  Based on observation, interview and record review, the facility failed to assess and implement a staff identified intervention to prevent falls for one resident (R1) out of three residents reviewed for falls in a sample of three. This failure resulted in R1 falling out of her wheelchair and sustaining a laceration to the left side of her forehead requiring six sutures. Findings include: The facility's Fall and Fall Risk, Managing policy dated 8/2008, documents Based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and cause to try to prevent the resident from falling and to try to minimize complications from falling. The facility's Care Plan policy updated 10/2022, documents 3. […]

• Actual harm, isolatedF689Jun 16, 2021

  Based on interview and record review, the facility failed to ensure a resident was transferred according to their plan of care for one (R1) of three residents reviewed for transfers in a sample of three. This failure resulted in R1 sustaining a femur fracture and increased pain. Findings include: Facility Safe Lifting and Movement of Residents, dated 1/1/16, documents In order to protect the safety and well-being of staff and residents, and to promote quality of care, this facility uses appropriate techniques and devices to life and move residents. R1's facesheet documents R1 was admitted on [DATE] and readmitted from the hospital on 6/10/21. […]

• No harm, potential for more than minimal, widespreadF812May 1, 2026

  Based on observation, interview, and record review, the facility failed to place use by dates on perishable foods. This failure has the potential to affect all 83 residents who reside in the facility. Findings include:The facility policy Storage of Dry Goods/Foods, undated, documents not in its entirety, Non-refrigerated foods, disposable dishware and other dry goods are stored in a clean, dry area which is free from contaminants.Opened products are labeled, dated with the use by date and tightly covered to protect against contamination including from insects and rodents. […]

• No harm, potential for more than minimal, widespreadF881May 1, 2026

  Based on record review and interview, the facility failed to perform Antibiotic Stewardship duties and fully utilize the Facility adopted McGeer's criteria for antibiotic use and education. This failure has the potential to affect all 83 residents that currently reside in the facility.Findings Include: The Facility's Antibiotic Stewardship Program policy dated 4/29/2025 documents The purpose of antimicrobial stewardship is to promote the appropriate use of antimicrobials by selecting the appropriate agent, dose, duration, and route of administration to improve patient outcomes, while minimizing toxicity and the emergence of antimicrobial resistance.The Facility's Antibiotic Stewardship Program policy dated 4/29/2025 documents Education: The facility will provide resources to clinician,… […]