Presbyterian Village, Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 9, 2024

  Based on observation, interview and record review, the facility failed to ensure that the facility kitchen and food storage areas were maintained in a clean, sanitary manner. This had the potential to affect 65 residents receiving their meals from the facility kitchen. The findings are: On 02/05/2024 at 10:01 AM, the can opener in the kitchen had a build-up of a sticky green and brown residue that could be removed with a towel. On 02/08/2024 at 10:17 AM, a can of celery soup located in the kitchen's dry storage area was observed to have a dent on the seam of the can. […]

• No harm, potential for more than minimal, widespreadF812Jul 16, 2021

  Based on observation and interview, the facility failed to ensure kitchen employees washed their hands before handling clean trays or food items and maintained sanitary practices while serving lunch and failed to ensure food items stored in the freezer and /or refrigerator were dated, labeled or not expired to prevent potential foodborne illness for residents who received meals from 1 of 1 kitchen. The failed practice had the potential to affect 51 residents who received meals from the kitchen (total census: 51), according to lists provided by the Administrator on [DATE] at 4:15 PM. The findings are: 1. On [DATE] at 11:37 am, there were twelve 40-ounce bags of frozen peppers and onions with an expiration date of [DATE] stored in the 3-door freezer. 2. […]

• No harm, potential for more than minimal, patternF880Apr 17, 2025

  Based on observation, interview, facility policy review, and document review, it was determined that the facility failed to ensure staff performed hand hygiene while feeding dependent residents to prevent the spread of infection and cross contamination. This failed practice had the potential to spread infection to 4 residents (Resident #18, #21, #32, and #37) of 4 sampled residents observed for dependent dining. The findings include: A review of a facility policy titled, Hand Hygiene Policy and Procedure undocumented date, revealed staff should always perform hand hygiene after contact with a resident's mucous membranes, body fluids or excretions and to cleanse the hands between residents direct contact. […]

• No harm, potential for more than minimal, patternF575Feb 9, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure a posting of a list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups in a form and manner accessible and understandable to residents and resident representatives. This failed practice had the potential to affect all 13 Residents in the secured unit. The findings are: 1. On 02/07/24 at 03:11 PM, during rounds on the secure unit, the Surveyor observed there were no signs posted for the Office of Long-Term Care (OLTC) or Ombudsmen with the contact information of the state authority for the residents that resided on the unit. a. […]

• No harm, potential for more than minimal, patternF689Feb 9, 2024

  Based on observation, interview, and record review the facility failed to ensure the environment was free of accident hazards by making sure lift pads/slings were free of fraying, rips, or tears to prevent accidents, or falls. This failed practice had the potential to affect 1(Residents #43) requiring mechanical lift transfer, with the potential to affect 4 sampled (Residents #3, #16, #31, and #43) requiring lift assistance on the 3rd floor. The facility failed to ensure that staff used appropriate transfer devices to aid in the transfer of Resident #40 in the transfer from the recliner to the wheelchair. This failed practice had the potential to affect 7 sampled (Resident #7, #8, #220, #53, #28, #59, #21) of 12 on the 2nd floor who required assistance for transfers without a lift. […]