Newton Village Health Care Center

In the surveyor’s words

From the most serious findings on record at Newton Village Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF805Jul 14, 2026

  Based on resident record, family and staff interviews, change of condition and dietary policy, the facility failed to serve a resident the correct textured meal. Resident #4 required a pureed diet due to a diagnosis of dysphagia. On 6/27/26, during the dinner meal time, a facility CNA assisted Resident #4 to eat a pureed meal provided by the facility culinary staff. The facility CNA prepared a second meal plate from the steam table for Resident #4 which consisted of scrambled eggs, sausage and hash browns and did not alter the consistency of the food. The resident told the staff member no and the staff continued to feed the resident. At 5:21pm, Resident #4 began to cough up phlegm and scrambled eggs after eating the meal. […]

• No harm, potential for more than minimal, patternF725Mar 7, 2024

  Based on observations, clinical record review, and resident interviews, the facility failed to answer call lights within a reasonable amount of time. (Residents #5, #6) The facility census was 22. Findings include: 1. According to a Minimum Data Set (MDS) with a reference date of 12/14/23, Resident #6 had a Brief Mental Status (BIMS) score of 15 indicating an intact cognitive status. Resident #6 required maximal assistance with transfers, mobility, dressing, toilet use and personal hygiene needs. Resident #6's diagnosis included congestive heart failure, diabetes mellitus, and chronic obstructive pulmonary disease. During an interview on 3/6/24 at 1:00 p.m. […]

• No harm, potential for more than minimal, isolatedF760Apr 2, 2026

  Based on observation, clinical record review, staff interview, manufacturer's inserts, and policy review the facility failed to ensure the full dose of insulin was given by failing to hold the insulin pen needle in the skin for the recommended period of time for 1 of 5 residents (Resident #9) observed for medication administration. The facility reported a census of 23 residents.Findings include:1. The Minimum Data Set (MDS) dated [DATE] revealed Resident #9's diagnosis of diabetes and documented Resident #9's use of insulin. […]

• No harm, potential for more than minimal, isolatedF623Mar 13, 2025

  Based on clinical record review, staff interview, and policy review the facility failed to notify the Long Term Care Ombudsman of discharge/transfer of residents as required for 2 of 3 residents reviewed who were discharged or transferred from the facility (Residents #2, and #23). The facility reported a census of 23 residents. Findings include: 1. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had an unplanned discharge to the hospital and reentered the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF676Mar 13, 2025

  Based on clinical record review, observation, family interview, staff interview and policy review the facility failed to provide appropriate services to maintain or improve resident abilities with ambulation for 1 of 1 residents reviewed for rehab/restorative. (Resident #29). Findings include: The Minimum Data Set (MDS) for Resident #29 admission to the nursing facility from assisted living dated 02/27/25 listed diagnoses included non-Alzheimer's dementia, peripheral vascular disease, osteoarthritis, muscle weakness, unsteadiness on feet and fibromyalgia. Functional abilities section of the MDS coded partial, moderate assistance for transferring and supervision or touching assist to walk 10-150 feet once standing. […]