Presbyterian Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Jan 29, 2026

  Based on observations, staff interviews, and review of facility policies titled, Mechanically Altered Diets and Thickened Liquids and How to Puree Foods, the facility failed to ensure dietary staff followed standardized pureed food recipes for nine of nine residents receiving pureed diets. This deficient practice had the potential to result in inconsistent nutritional intake and unsafe food consistency. Findings include:Review of the facility policy titled Mechanically Altered Diets and Thickened Liquids, issued on 05/01/2019, under the section titled Procedure, revealed, Mechanically altered diets are planned, prepared, and served with supervision or consultation from a registered dietitian.Review of the facility policy titled How to Puree Foods under the section titled Preparation Steps… […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2026

  Based on observations, record review, staff interviews, and review of the facility's policies titled, Labeling Food Product and Food Storage, the facility failed to ensure food items were properly labeled, dated, sealed, and discarded when expired in the pantry, freezer, cooler, and resident refrigerator. This deficient practice had the potential to affect all 62 residents who receive food orally and increased the risk of foodborne illness.Findings include:Review of the facility policy titled Labeling Food Product, reviewed on 01/02/2023, revealed under Policy: All prepared foods, leftovers and opened products stored for later use will be labeled according to food safety standards. Under Procedures: .3. a. […]

• No harm, potential for more than minimal, widespreadF880Nov 14, 2024

  Based on observations, record review , staff interviews, and review of the facility policies/documents titled, Infection Prevention and Control Program, Infection Prevention and Control Committee, Surveillance Plan, Help Keep Our Residents Safe-Enhanced Barrier Precautions In Nursing Homes, Enhanced Barrier Precautions (EBP) Implementation-Observations Tool, and Wound Care, the facility failed to provide proper surveillance and monitoring for infections and communicable diseases for 71 of 71 residents (R) residing in the facility. In addition, the facility failed to ensure Enhanced Barrier Precautions signs were on residents' doors for 15 of 15 (R) on enhanced barrier precautions. […]

• No harm, potential for more than minimal, widespreadF881Nov 14, 2024

  Based on observations, record review, staff interviews, and review of the facility policy titled, Antibiotic Stewardship Policy, the facility failed to establish and maintain an antibiotic stewardship facility-wide monitoring system (line listing) for residents on antibiotics. The deficient practice had the potential to affect all 71 residents residing in the facility. Findings include: Review of the facility policy titled Antibiotic Stewardship Policy not dated, documented under section titled, Governance of Antimicrobial Stewardship, as part of the Infection Prevention and Control Program (IPCP), the facility has established a committee to oversee antimicrobial stewardship functions. […]

• No harm, potential for more than minimal, widespreadF882Nov 14, 2024

  Based on observations, record review, staff interview, and review of the facility policy titled, Antibiotic Stewardship Policy, the facility failed to employ a certified Infection Preventionist (IP) and experienced a lapse in infection prevention leadership. The deficient practice had the potential to affect all 71 residents residing in the facility. Findings include: Review of the undated facility policy titled Antibiotic Stewardship Policydocumented under section titled, Governance of Antimicrobial Stewardship, as part of the Infection Prevention and Control Program (IPCP), the facility has established a committee to oversee antimicrobial stewardship functions. The Infection Preventionist (IP), who is responsible for the overall IPCP, is an integral part of the committee. […]