Presbyterian Village Of Homer

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727May 29, 2025

  Based on record reviews and interview, the facility failed to ensure an RN (Registered Nurse) was on duty for 8 consecutive hours per day, 7 days a week, for 4 days within FY (Fiscal Year) Quarter 1 2025 (October 1- December 31). Findings: Review of the facility's PBJ (Payroll Based Journal) Staffing Data Report for FY Quarter 1 2025 (October 1- December 31) revealed there were no RN hours for four or more days within the quarter. Further review revealed no RN hours for the dates of 10/27/2024, 11/30/2024, 12/01/2024, and 12/28/2024. During an interview on 05/28/2025 at 1:00 p.m. S1 Administrator reported he was responsible for completing the PBJ staffing report. […]

• No harm, potential for more than minimal, patternF552Jul 1, 2026

  Based on record reviews and interviews the facility failed to ensure residents and/or residents' RP (Responsible party) were informed of the risks, benefits and side effects of psychotropic/antipsychotic medications for 2 (#3 and #40) of 5 residents reviewed for unnecessary medications. Findings:Resident #3Review of Resident #3's medical record revealed an admission date of 01/06/2023 with diagnoses which included major depressive disorder, anxiety disorder, and dementia with other behavioral disturbance.Review of Resident #3's current physician orders and eMAR (electronic Medication Administration Record) revealed Resident #3 received the antipsychotic medication Zyprexa oral tablet, 5 mg (milligram) PO (by mouth) one time a day for dementia with other behavioral disturbance. […]

• No harm, potential for more than minimal, patternF636Jul 1, 2026

  Based on record review and a staff interview, the facility failed to accurately assess 1 (#43) of 1 resident reviewed for dialysis and enter Resident #43 MDS (Minimum Data Set) assessments correctly. Findings:Review of Resident #43's face sheet revealed an initial admission date of 11/13/2025 with a diagnosis of end stage renal disease. Review of Resident #43's July 2026 Physician Orders revealed an order dated 11/14/2025 for hemodialysis three times a week- Monday, Wednesday, and Friday.Review of Resident #43's Quarterly MDS dated [DATE] revealed special treatments, procedures and programs for Dialysis was answered No.During an interview on 07/01/2026 at 2:40 p.m. […]

• No harm, potential for more than minimal, patternF814Jul 1, 2026

  Based on an observation and interviews the provider failed to ensure dumpster lids were in working order. Findings: Observation on 07/01/2026 at 8:45 a.m. revealed one of the dumpsters had 2 yellow dumpster lids that were broken and the lids were not able to cover the top of the dumpster. During an interview on 07/01/2026 at 8:50 a.m., S5 Maintenance reported the yellow lids on the dumpster had been broken for a while. During an interview on 07/01/2026 at 9:00 a.m., S6 Maintenance Supervisor verified the two yellow dumpster lids were not in working order.

• No harm, potential for more than minimal, patternF700May 29, 2025

  Based on observations, interviews, and record reviews, the facility failed to 1) ensure residents had a physician's order for bed rails, 2) ensure residents or resident's responsible party were informed of the risks and benefits associated with the use of bed rails, 3) ensure a quarterly assessment was completed for the use of bed rails, and 4) assess residents for the risks of entrapment from bed rails prior to the installation of bed rails for 3 (#24, #46 and # 47) of 3 residents reviewed for bed rails. Findings: Review of the Consent for Bed Rail Usage on Resident Bed revealed the following: -Facility must assess the resident for need of bed rails and must conduct a review of risks, which includes entrapment. […]