The Blossoms at the Village Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at The Blossoms at the Village Rehab & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 1, 2021

  Based on observation, record review and interview, the facility failed to ensure a resident in a wheelchair was properly secured on the transport van to prevent an accident with injury for 1 (Resident #1) of 1 sampled resident who was transported on the facility van in the past 30 days. This failed practice resulted in past noncompliance at the level of Immediate Jeopardy, which caused or could have caused serious harm, injury, or death for Resident #1, who tilted backward in the facility van during transport and hit her head, and had the potential to cause more than minimal harm to 15 residents who were transported via wheelchair on the facility van in the last 30 days, as per a list provided by the Administrator on 09/01/21. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen, These failed practices had the potential to affect 103 residents who received meals from the kitchen, (total census: 104 ) as documented on a list provided by the Dietary Supervisor #1 on 11/02/23 at The findings are: 1. On 11/01/23 10:26 AM Dietary Employee (DE) #1 opened the refrigerator door, removed a bag of shredded cheese, and placed it on the food preparation counter. At 10:27 AM DE #1 removed gloves from the glove box and held it while he picked up the empty glove box and threw it into the trash. […]

• No harm, potential for more than minimal, widespreadF812Jul 28, 2022

  Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination for the residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 88 residents who received meals from the kitchen (total census 89) as documented on a list provided by Dietary Supervisor. The findings were: 1. On 7/27/22 at 9:11 AM, the following observations were made during the initial tour of the kitchen: a. On 7/27/22 at 10:28 AM, Dietary Employee #1 opened the door for resident to come in. She walked into the kitchen and went straight to the storage room. […]

• No harm, potential for more than minimal, patternF692Dec 19, 2025

  Based on record review, observation, and interview, it was determined that the facility failed to serve three (Resident #56, #30, and #68) of three residents ordered fortified foods, reviewed for diet orders. The findings include: Resident #56 A review of Resident #56's admission Record indicated the facility admitted the resident on 06/28/2024, with diagnoses which included dementia. A review of Resident #56's quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 10/03/2025, revealed a Brief Interview for Mental Status (BIMS) score of 13, which indicated the resident was cognitively intact. […]

• No harm, potential for more than minimal, patternF554Aug 15, 2024

  Based on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to assess for, obtain physician's order for, and care plan for self-administration of medications for 2 (Resident #41 and Resident #73) of 2 residents reviewed for self-administration of medications. Findings include: 1. A review of a facility policy titled, Medication, Self-Administration of Policy and Procedure, provided 08/15/2024 indicated, the purpose is to provide patient with right to self-administer medication when deemed safe and In order to maintain the residents' high level of independence, residents who desire to self-administer medications are permitted to do so if the facility's interdisciplinary team has determined that the… […]