St Mark Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 28, 2026

  Based on observations, staff interviews and record review, the facility failed to ensure food was stored in a clean, safe and sanitary manner, free from contamination, in one kitchen (Main) of one observed, and in two nourishment pantries (Long-term side - #1 and Rehabilitation side - #2) of two observed. Findings included: On 5/26/2026 at 9:25 a.m. a tour of the main kitchen with the facility's dietician and the kitchen manager revealed following:-The walk-in refrigerator unit was observed with a four-fan housing plate on the back wall and ceiling. The fan housing plate was observed with dust and debris. The refrigerator unit was stocked with food items, some in boxes and some in clear containers. […]

• No harm, potential for more than minimal, isolatedF628May 28, 2026

  Based on record review and interview, the facility failed to provide the representative of the office of the State Long-Term Care (LTC) Ombudsman program with discharge notices for residents transferred to the hospital, to include one resident (#48) of one sampled for hospital discharge transfers. Findings included: An interview on 05/28/2026 at 2:42 PM with Staff E, Social Services Director (SSD) and the Nursing Home Administrator (NHA) revealed nursing staff completes the documentation for unplanned transfers to the hospital from the facility and the role of an SSD included notifying the LTC Ombudsman of planned discharges. Staff E and the NHA stated they were not aware of the facility's responsibility to notify the LTC Ombudsman of transfers to the hospital. […]

• No harm, potential for more than minimal, isolatedF685May 28, 2026

  Based on observations, record reviews, and interviews, the facility failed to ensure hearing assistive devices were provided for one resident (#3) out of one resident sampled.Findings included: Review of Resident #3's admission record revealed an original admission date of 04/13/2026 and a readmission date of 04/26/2026 with diagnoses to include cognitive communication deficit and unspecified dementia. Review of Resident #3's Minimum Data Set (MDS) dated [DATE], revealed the following: Section B- hearing, speech, and vision revealed the resident has moderate hearing with hearing aids and the speaker must increase volume and speak distinctly. […]

• No harm, potential for more than minimal, isolatedF584Dec 29, 2021

  Based on observations, interviews, and record review the facility failed maintain a clean and sanitary environment for one (Resident #208) out of twenty-one residents in the sample group regarding not deep cleaning and sanitizing a room. Findings included: During the initial tour of the facility, on 12/27/21 at 09:45 a.m. an empty room was entered. No resident names were noted on the door. Resident items were still present in the room. On a shelf in the closet, designated for bed A, there was a bottle of water, a bed pan, and a bedside commode bucket observed. In the closet, designated for bed A, there were clothes labeled with Resident #208's name on them. The dresser, designated for bed A, had wound care supplies in the top drawer. […]

• No harm, potential for more than minimal, isolatedF657Dec 29, 2021

  Based on observations, interviews, facility policy and record reviews the facility failed to ensure the interventions on the resident centered care plan were revised, related to wound care for one (Resident #3) of twenty-one residents in the sample group. Findings included: On 12/28/2021 at 1:37 p.m. a wound care observation was conducted for Resident #3. The wound was located on the left lower lateral calf and was diagnosed as a venous stasis wound related to [CONDITION(S)] (PVD). A review of the medical record for Resident #3 indicated he was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]