Kirkland Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 18, 2026

  Based on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to provide the necessary supervision to monitor a resident's location and prevent an elopement (unauthorized departure from the facility) for one of five sampled residents (Resident 1), This failure resulted in an Immediate Jeopardy situation. The incident has been identified as past non-compliance. Findings include: Review of the facility policy entitled, Elopement, last reviewed on December 29, 2025, revealed that staff were to monitor residents to prevent elopement. […]

• No harm, potential for more than minimal, isolatedF580Sep 12, 2024

  Based on policy review, clinical record review, and staff interview, it was determined that the facility failed to notify a resident's responsible party of a significant weight loss for one of 12 sampled residents. (Resident 11) Findings include: Review of the facility policy entitled, Change in Medical Condition, dated August 29, 2024, revealed that staff were to provide timely notification to the resident's representative of significant changes to the resident's physical status. Clinical record review revealed that Resident 11 had diagnoses that included dementia, adult failure to thrive, and dysphagia (difficulty swallowing). Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed the resident had severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF684Sep 12, 2024

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of 12 sampled residents. (Resident 20) Findings include: Clinical record review revealed that Resident 20 had diagnoses that included chronic kidney disease and heart failure. On June 14, 2024, a physician ordered that staff obtain a daily weight for the resident. A review of Resident 20's weights revealed that there was no documented evidence to support a weight was obtained on September 5, 6, 7, and 8, 2024. In an interview on September 12, 2024, at 11:10 a.m., the Administrator confirmed there was no documentation to support that weights were obtained by staff or refused by Resident 20 on the previously mentioned dates. […]

• No harm, potential for more than minimal, isolatedF692Sep 12, 2024

  Based on facility policy review, staff interview, and clinical record review, it was determined that the facility failed to adequately monitor and assess a significant weight change for one of 12 sampled residents. (Resident 11) Findings include: Review of the facility policy entitled, Nutrition Risk Identification, last reviewed August 29, 2024, revealed that the nursing or dietary department would identify residents with a weight loss of five percent total body weight in a 30 day period and a dietician would complete a nutritional evaluation and recommend any changes needed to aid the resident's return to optimal nutritional status. […]

• No harm, potential for more than minimal, isolatedF880Sep 12, 2024

  Based on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to implement transmission based droplet precautions and use of personal protective equipment (PPE) to prevent the spread of infection for two of 12 sampled residents. (Residents 15, 23) Findings include: Review of the facility policy entitled, Covid-19 PPE Policy, last reviewed on August 29, 2024, revealed that staff was to wear cleanable or disposable eye wear, non-sterile, disposable isolation gowns, respirator type face masks, and gloves, which were donned and doffed when entering and exiting patients' room and were not to be reused. […]