Skilled Nursing at Fellowship Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 2, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to: a) maintain kitchen equipment in a clean, safe and sanitary manner, b) maintain proper food storage in a clean, safe and sanitary manner and c) maintain kitchen garbage in a clean, safe and sanitary manner, and free from pests as evidenced by the following:On 3/30/26 at 9:37 AM, in the presence of the Food Service Director (FSD), the surveyors observed the following in the kitchen:The can-opener blade had areas missing and a congealed orange residue in the top left corner. The FSD acknowledged the blade had not been changed and it could cause potential harm to the residents. […]

• No harm, potential for more than minimal, patternF745Apr 2, 2026

  Based on observations, interviews, record review, and review of facility provided documents, it was determined that the facility failed to provide medically related social services for a resident who transitioned in care from rehabilitation to long term care (Resident #16). This deficient practice was identified for 1 of 1 long term care (LTC) residents reviewed for social work services and was evidenced by the following:On 3/30/26 at 10:38 AM, during the initial facility tour, the surveyor observed Resident #16 in their room with the door open. Resident #16 stated they fell and got injured, needed rehabilitation, and then added, I've been here forever. Resident #16 stated they used to live in an apartment and wished they could return. […]

• No harm, potential for more than minimal, patternF757Apr 2, 2026

  Based on observations, interviews, record review, and review of pertinent documentation, it was determined that the facility failed to obtain consent to ensure that the residents did not receive an unnecessary medication for 2 of 5 residents reviewed for unnecessary medications, (Resident #10 and #61).This deficient practice was evidenced by the following:1.) On 3/30/2026 at 10:10 AM, the surveyor observed Resident #10 in bed with the TV on. The resident greeted the surveyor but was unable to hold a conversation. On 3/31/2026 at 11:50 AM, the surveyor observed Resident #10 lying in bed. An empty juice cup with a straw was observed on the overbed table. The resident greeted the surveyor and asked when lunch was coming. […]

• No harm, potential for more than minimal, isolatedF607Apr 2, 2026

  Based on interviews, review of the facility's policy, and other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to a.) complete a background check for 1 out of 65 employees (Employee #4) and b.) complete refence checks for 1 out of 65 employees (Employee #5). This deficient practice was identified for newly hired employees reviewed since last survey of 11/4/2024.This deficient practice was evidenced by the following:On 3/30/26 at approximately 9:40 AM, during the entrance conference, the surveyor requested from the Licensed Nursing Home Administrator (LNHA), all newly hired employee files for active and inactive employees from 11/4/24 to the current date.A review of the employee personnel files revealed the following:For Employee #4,… […]

• No harm, potential for more than minimal, isolatedF655Apr 2, 2026

  Based on record review, interview, and facility policy review, the facility failed to ensure a written copy of the baseline care plan was completed and provided to the resident and/or resident representative (RR) within 48 hours of admission for 1 of 20 sampled residents (Resident #61) reviewed for baseline care plan. This deficient practice was evidenced by the following:On 3/30/2026 at 9:36 AM, during the initial tour, the surveyor observed an oxygen in use sign on the door frame of Resident #61's door. The resident was in a reclining chair wearing oxygen (O2) via a nasal canula (NC) at 2l (liters) per minute (min). […]