Momentous Health at Vandalia

In the surveyor’s words

From the most serious findings on record at Momentous Health at Vandalia, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Mar 16, 2026

  Based on record review, staff interview, and review of the facility policy review, the facility failed to ensure there was a Registered Nurse (RN) scheduled at least eight consecutive hours per day, seven days per week. This had the potential to affect all of the residents residing in the facility. The facility census was 108 residents. Findings include: Findings Include: Review of policy titled Staffing and dated 05/01/22 reveals that the facility should maintain adequate staffing on each shift to ensure resident's needs and services are met. Interview on 03/13/26 at 1:52 P.M. with Chief Operating Officer (COO) #400 confirmed the facility di not have a Registered Nurse(RN) on duty in the facility on 02/28/26. […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2024

  Based on observation, staff interview, and review of a facility emergency management plan, the facility failed to ensure there was an adequate amount of food available in the facility to account for scheduled meals and emergency situations. This had the potential to affect all 99 residents in the facility who the facility identified as receiving food from the kitchen. The census was 99. Findings include: Observation of the kitchen with [NAME] #59, on 12/03/24 at 8:31 A.M. through 8:44 A.M., revealed the facility's dry food storage consisted of dry pancake mix, dry cake mix, instant potatoes, noodles, onions, brown sugar, two canisters of oats, frosting, 11 cans of fruit, six cans of vegetables, and 25 pounds of rice. […]

• No harm, potential for more than minimal, widespreadF837Sep 4, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the online license verification system of the Bureau of Executives of Long-Term Services and Supports (BELTSS), review of the Administrator job description, and staff interview, the facility failed to ensure there was a licensed nursing home administrator (LNHA) with a valid license providing supervision and leadership to the facility. This had the potential to affect all of the residents residing in the facility. The facility census was 106 residents. […]

• No harm, potential for more than minimal, widespreadF839Mar 14, 2024

  Based on review of personnel files and staff interview, the facility failed to ensure all licensed nursing staff had an active nursing license. This had the potential to affect all 96 residents residing in the facility. The census was 96. Findings include: Review of the personnel file for Assistant Director of Nursing - Registered Nurse (ADON -RN) #34 revealed she was hired on [DATE], and the department was listed as Assistant DON-RN. Further review of the personnel file revealed no evidence ADON-RN #34's license was verified with the board of nursing upon hire. Review of the license verification provided by the facility for ADON-RN #34 dated [DATE] at 1:14 P.M. revealed ADON-RN #34 had an inactive RN license. […]

• No harm, potential for more than minimal, widespreadF868Apr 24, 2023

  Based on record review, staff interviewand policy review, the facility failed to conduct Quality Assurance and Performance Improvement meetings at least quarterly. This had the potential to affect all 103 residents in the facility. The census was 103. Findings include: Review of meetings for Quality Assurance and Performance Improvement, (QAPI), for the years 2023, and 2022, revealed no documentation of at least quarterly meetings. Interview on 04/20/23 at 2:00 P.M., with the Administrator verified there was no documentation of regular QAPI meetings for years 2023 and 2022. The Administrator stated she was newly hired and the documentation of previous QAPI meetings was missing. […]