St. Joseph's, A Villa Center

In the surveyor’s words

From the most serious findings on record at St. Joseph's, A Villa Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 5, 2025

  Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen. This deficient practice had the potential to affect all142 residents that consume food from the kitchen. Findings include: On 2/3/25 between 8:35 AM-8:50 AM, during an initial tour of the kitchen with [NAME] B, the following items were observed: The paper towel dispenser by the hand washing sink at the entrance to the kitchen was empty. According to the 2017 FDA Food Code section 6-301.12 Hand Drying Provision, Each handwashing sink or group of adjacent handwashing sinks shall be provided with: (A) Individual, disposable towels;. In the walk-in cooler, there was a pack of cheddar cheese with no date on it. […]

• No harm, potential for more than minimal, widespreadF812Sep 13, 2022

  Based on observation, interview, and record review, the facility failed to maintain the kitchen in a sanitary manner, resulting in the increased potential for cross contamination and the attraction of pests. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 9/11/22 between 8:30 AM- 9:00 AM, during an initial tour of the kitchen, the following items were observed: In the dry storage room, there was a buildup of food debris on the floor underneath the racks. In the walk-in cooler, there was food debris, a rotten cucumber and a juice container on the floor underneath the racks. […]

• No harm, potential for more than minimal, widespreadF881May 26, 2021

  Based on interview and record review, the facility failed to implement an effective antibiotic stewardship program to ensure appropriate clinical indication for the use of antibiotic medications, resulting in possible antibiotic resistance and unnecessary antibiotic use to all residents who resided in the facility. Findings include: On 5/25/21 at 1:20 PM, a request was made to the Infection Control Preventionist (ICP) and the Director of Nursing (DON) to review their Antibiotic Stewardship Program. They submitted a binder that showed residents that were utilizing antibiotics. […]

• No harm, potential for more than minimal, patternF804Sep 13, 2022

  Based on observation, interview, and record review the facility failed to serve meals in a palatable manner and at the preferred temperature for three sampled Residents (R12, R59 and R93) and one confidential group resident, of thirteen residents reviewed for food palatability, resulting in dissatisfaction during meals. Findings include: Resident #12 (R12) On 9/11/22 at 10:25 AM, during an initial tour of the facility R12 was interviewed about food palatability at the facility and stated, It is bland. On 9/11/22 at 11:00 AM, a review of R12's electronic medical record (EMR) revealed that R12 was admitted to the facility on [DATE] with diagnoses that included Dementia and [CONDITION(S)] ([CONDITION(S)]). […]

• No harm, potential for more than minimal, patternF686Apr 29, 2022

  This citation pertains to MI 532 and MI 435. Based on observation, interview and record review the facility failed to ensure wounds were consistently monitored and wound care completed for five sampled Residents (R902, R903, R904, R905, R906) of six residents reviewed for skin care management resulting in decreased monitoring of the wounds and the potential for a delay in wound healing and worsening of the wound. Findings include: R902 A review of the record for R902 revealed R902 was admitted into the facility on [DATE] and discharged [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The nursing care plan dated 03/10/22 documented the need for two persons for bed mobility and the need for extensive staff assistance with bathing, dressing personal hygiene (and) bed mobility. […]