Kingston Health Center of Vermilion

In the surveyor’s words

From the most serious findings on record at Kingston Health Center of Vermilion, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Dec 24, 2025

  Based on observation, medical record review, and staff and resident interview, the facility failed to ensure showers were provided to dependent residents as scheduled. This affected two (#72 and #37) of three residents reviewed for showers. Additionally, the facility failed to ensure residents received timely assistance with eating. This affected three (#37, #84, and #65) of three residents reviewed for assistance with eating. The facility identified 21 residents who required staff assistance with eating. The facility census was 99. Findings include: 1. Review of the medical record for Resident #72 revealed an admission date of 06/29/23. […]

• No harm, potential for more than minimal, patternF761Aug 31, 2023

  Based on observation, staff interview, medical record review, and policy review, the facility failed to ensure medications were stored securely. This affected one (#61) and had the potential to affect four additional residents (#35, #54, #68, and #79) the facility identified as cognitively impaired and independently mobile on the 300 hall. The facility census was 108. Findings include: Review of Resident #61's medical record revealed an admitted ,d+[DATE] 22, with diagnoses including: dementia without behaviors, obstructive uropathy and urinary retention. Review of Resident #61's Admission Assessment/Observation, dated 02/01/22, revealed Resident #61 did not wish to administer his own medications. […]

• No harm, potential for more than minimal, patternF803Aug 31, 2023

  Based on observation, record review, staff interview, and review of policy, the facility failed to ensure proper portion sizes were served to residents. This had the potential to affect all residents, except for Resident #19 and #28 who were identified as consuming nothing by mouth. The facility census was 108. Findings include: Review of the dinner meal spreadsheet for 08/28/23, revealed that sloppy [NAME] should be served using a number 10 (three-ounce) scoop. Observation of tray line on 08/28/23 at 4:40 P.M., revealed Dietary Cook #867 served sloppy [NAME] with a number 16 (two-ounce) scoop instead of a number 10 scoop, as indicated on the spreadsheet. […]

• No harm, potential for more than minimal, patternF812Aug 31, 2023

  Based on record review, observation, staff interview, and review of policy, the facility failed to safely store resident food items in the refrigerator/freezer located in the staff break room. This had the potential to affect all residents, except for Resident #19 and #28 who were identified as consuming nothing by mouth. The facility census was 108. Findings include: Interview on 08/29/23 at 8:48 A.M., with Registered Nurse (RN) #703, revealed resident food items were stored in a refrigerator/freezer located in the staff breakroom. Interview on 08/29/23 at 8:56 A.M., with Dietary Manager #884, revealed the environmental service department was responsible for maintaining the specified refrigerator/freezer. […]

• No harm, potential for more than minimal, patternF812Aug 22, 2022

  Based on record review, review of the facility's policy, observations and staff interviews, the facility failed to ensure food was labeled, sealed, and dated appropriately and equipment was cleaned. This had the potential to affect 97 of 100 residents who received meals from the kitchen. The facility identified three residents (#16, #20, and #86) who received no food by mouth. The facility census was 100. Findings include: Tour of the kitchen on 08/19/22 from 7:15 A.M. through 7:35 A.M. revealed in the walk-in refrigerator, there were hamburgers not covered properly, pre-made pancakes not wrapped properly or dated when opened, and sliced turkey, and sliced cheese not labeled or dated. In the walk-in freezer, a bag of frozen pitas was not wrapped properly or dated when the bag was opened. […]