Stonebridge Villa Marie

In the surveyor’s words

From the most serious findings on record at Stonebridge Villa Marie, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 27, 2023

  Based on interview and record review, facility staff failed to ensure one resident (Resident #1) remained free from sexual abuse when Resident #2 touched Resident #1 inappropriately. The facility census was 71. The administrator was notified on 3/27/2023 of past Non-Compliance, which occurred on 3/25/2023. On 3/25/2023 at approximately 8:00 P.M., facility staff observed Resident #2 standing over Resident #1 with his/her hand in Resident #1's pants. Upon discovery, the two residents were separated and placed on 15-minute checks. Staff updated resident assessments and plans of care. Staff made all appropriate notifications and staff have been in-serviced on inteventions in place for Resident #2. Staff corrected the deficient practice on 3/25/2023. 1. […]

• No harm, potential for more than minimal, widespreadF801Aug 9, 2024

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. This failure has the potential to affect all residents. The facility census was 66. 1. Review of the facility's Food Services Manager policy, dated December 2008, showed the daily functions of the Food Services Department are under the supervision of a qualified Food Services Manager. […]

• No harm, potential for more than minimal, widespreadF803Aug 9, 2024

  Based on observation, interview and record review, facility staff failed to serve food in accordance with the nutritionally calculated menus to all residents. The facility census was 66. 1. Review of the facility's Menus policy, dated October 2008, showed the policy directed that menus shall meet the nutritional needs of the residents, be prepared in advance and be followed. 2. Review of the facility menus, dated 08/08/24 (Week 2, Day 12), showed the menus directed staff to provide the residents on regular and dental/mechanical soft diet with a two inch by three inch cream cheese brownie at the lunch meal. […]

• No harm, potential for more than minimal, widespreadF812Aug 9, 2024

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and outdated use. Facility staff failed to thaw frozen foods in a manner to prevent the growth of food-borne pathogens and cross-contamination with ready-to-eat food items. Facility staff failed to allow sanitized dishes to air dry before being stacked in storage to prevent the growth of food-borne pathogens. Facility staff failed cover kitchen waste containers when not in actual use to deter the attraction of pests and rodents. Facility staff failed to perform hand hygiene as often as necessary, using approved techniques, to prevent cross-contamination. These failures have the potential to affect all residents. The facility census was 66. 1. […]

• No harm, potential for more than minimal, widespreadF882Aug 9, 2024

  Based on interview and record review, facility staff failed to designate one or more individuals with specialized training in Infection Prevention and Control (IPC) as the Infection Preventionist (IP) for the facility's infection prevention and control program. The facility census was 66. 1. Review of the facility's policies showed staff did not provide a policy in regard to the qualifications of the Infection Preventionist. 2. During an interview on 08/08/24 at 12:22 P.M., Licensed Practical Nurse (LPN)/Assistant Director of Nursing (ADON) said he/she enrolled in the required IP training Monday night or Tuesday morning after the DON put his/her notice in. The LPN/ADON said he/she is not a trained IP. […]