Swiss Village

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF758Feb 14, 2023

  Based on interview and record review the facility failed to ensure side effect monitoring was completed for 4 of 6 residents reviewed. (Resident 31, Resident 52, Resident 72, and Resident 73) Findings include: In an interview with QMA 2 (Qualified Medication Assistant), on 02/07/23 at 01:56 PM, she indicated each medication class a resident received had side effects monitoring, including anticoagulants, insulin, and psych medications. 1) Resident 31's record review, began on 02/08/23 at 10:34 AM. The records indicated her diagnosis included; unspecified dementia, major depressive disorder, generalized anxiety disorder, and pain. […]

• No harm, potential for more than minimal, patternF812Mar 16, 2022

  Based on observation and interview the facility failed to ensure sanitary practices were followed during dinning services for 14 of 17 residents observed. Findings included: A observation on 3-10-22 at 11:51 A.M. of the meal service for the hall Lavendel Place, 17 residents were seated in the dining room. There were 3 staff members assisting with tray pass in the dinning room. There was one antibiotic hand sanitizer (ABHS) dispenser inside the dinning room next to the door and another one at the opposite door on the outside. There was a small kitchenette with food in the steamers, one server was observed in the kitchenette. One staff member was going around and taking meal orders of the residents. The 2 other staff members were observed to be serving a small dish of fruit. […]

• No harm, potential for more than minimal, isolatedF684Jun 22, 2026

  Based on interview and record review the facility failed to follow physician orders for 1 of 3 residents reviewed (Resident B).Findings include:Resident B's record was reviewed on 6/22/26 at 10:36 AM. Diagnoses included hypertension, congestive heart failure and atrial fibrillation.A nurse practitioner (NP) note, dated 2/6/26, indicated Resident B was seen for low blood pressure and new orders were written. The note indicated new orders included to monitor Resident B's blood pressure and heart rate daily.Nursing notes were reviewed from 2/6/26 to 2/9/26. There was no blood pressure or heart rate monitoring documentation on 2/7/26 or 2/8/26.Vitals were reviewed from 2/6/26 to 2/9/26. […]

• No harm, potential for more than minimal, isolatedF689Dec 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure fall interventions were followed for 1 of 5 residents reviewed (Resident 9).Findings include:A review of Resident 9's current care plan indicated the resident was to not sustain another serious injury from a fall through next review, with a goal date of 2/10/2026. Interventions included, lock walker in front of resident when sitting in recliner.A review of physician orders, dated 11/30/2025 at 6:00 PM, indicated a fall intervention was to lock the walker in front of the resident when sitting in a recliner.Resident 9's record was reviewed on 11/17/2025 at 10:48 AM. […]

• No harm, potential for more than minimal, isolatedF697Dec 18, 2025

  Based on interview and record review the facility failed to use non medication interventions related to pain for 1 of 1 resident reviewed. (Resident 5).Findings include: In an interview on, 12/16/2025 at 9:27 AM, Resident 5 indicated her pain was not controlled. Resident 5 indicated the only intervention used for pain control was medication. On 12/16/25 at 10:07AM, a review of Resident 5's record indicated there were physician orders for pain medications as follows:Dated 11/10/25, give oxycodone 5 mg 1 tablet by mouth every 8 hours as needed for pain rated 6-10 Dated 12/4/25, give gabapentin 100mg (2) tablets three times a day Dated 11/10/25, give Tylenol arthritis pain 650mg one tablet every 24 hours for pain rated 1-5 Resident 5's diagnosis included stable fracture of T11-T12 vertebra,… […]