Palm Village Retirement Comm.

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF761Jul 29, 2025

  Based on observation, interview, and record review, the facility failed to properly store medications in two of three medication carts when: 1. Medication cart, referred to as, 900-WB, contained three expired prescription medications for two residents (Resident 59 and Resident 90). 2. Medication cart, referred to as, 300-600, contained one expired prescription medication for one resident (Resident 11) and one expired over-the-counter medication. This failure had the potential to decrease medication potency that could compromise the therapeutic effectiveness of stored medications.Findings: 1. During a concurrent observation and interview on 7/23/25 at 2:08 p.m. […]

• No harm, potential for more than minimal, widespreadF802Jul 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure kitchen staff used appropriate portioning utensils for food service, which is necessary to provide accurate and consistent meal portions to residents (Resident 12), when one staff member was observed using a regular metal teaspoon instead of standardized portioning utensil to serve cottage cheese during meal preparation.This failure had the potential to result in inconsistent portion sizes and negatively impact residents' nutritional intake and dietary orders. Findings:During an observation on 7/22/25 at 9:32 a.m. with Kitchen Staff (KS) 1, KS 1, was observed preparing cottage cheese and strawberry salads for lunch. KS 1 stated the salads were being prepared to accommodate resident special requests. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2025

  Based on observation, interview, and record review the facility failed to ensure food was stored, prepared and distributed in accordance with professional standards when:1. Four kitchen staff (KS) employees (KS 4,5,6 and 7) and the Certified Dietary Manager (CDM) were observed working in the kitchen without wearing beard nets, despite having facial hair.2. Reach in refrigerator was not maintained at 40 degrees Fahrenheit (a way to measure temperature) or below.3. Clean souffle bowls were stored with visible food crumbs and debris on them.4. The stove had visible grease and grime on its surface and behind the unit. The adjacent wire rack, which held bottles of cooking oils and vinegars, had visible grease and food spillage on both the bottles and shelving.5. […]

• No harm, potential for more than minimal, widespreadF623Aug 2, 2024

  Based on interview, record review, and facility policy review, the facility failed to provide one of one resident (Resident (R)118) reviewed for hospital transfers out of a total sample of 33 residents a written transfer notice when R118 was transferred to the hospital. This failure placed all residents and their representatives at risk of having incomplete information, misunderstand the reason of transfer/discharge, and the discharge appeal process. Findings include: Review of the facility's policy titled Transfer and Discharge Notice dated 06/2017 read in part 1. […]

• No harm, potential for more than minimal, widespreadF625Aug 2, 2024

  Based on interview, record review, and facility policy review, the facility failed to provide one of one residents (Resident (R) 118) reviewed for hospital transfers out of a total sample of 33 residents a written bed hold when R118 was transferred to the hospital. This failure This failure placed all residents of the facility at risk for the resident and/or responsible parties to not have the information needed to safeguard their return to the facility. Findings include: Review of the facility's policy titled Bed-Hold Notification dated 01/2017 read in part .Inform the resident or resident's representative, in writing, of their right to exercise the bed hold provision and the state bed-hold policy of seven (7) days, which will permit the resident to return and resume .provide written… […]