The Villa at the Park

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 7, 2023

  This citation pertains to Intakes MI00140574 and MI00140631. This citation has two deficient practice statements. Deficient practice statement #1. Based on interview and record review, the facility failed to provide adequate monitoring and supervision to prevent an elopement for one resident (R901) from a total sample of two who were reviewed for elopement, when resident R901, who had a severe cognitive impairment and was assessed, and care planned as an elopement risk. R901 also had a recent history of exit seeking behavior. R901 eloped from the facility during a smoke break on 10/15/2023 at approximately 11:00 AM, without the staff being aware of R901's whereabouts. […]

• Actual harm, isolatedF600Dec 10, 2025

  This citation pertains to Incident 2688332 Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by staff, affecting one resident (R701) of two reviewed for abuse. Findings include An allegation of staff to resident abuse on 11/28/25 involving Certified Nursing Assistant (CNA) A and R701 was submitted to the state agency.On 12/10/25 at 11:49 AM, R701 was observed sitting on the side of their bed in their room. When asked about the purplish bruise under their left eye, R701 stated, don't want to talk and shook their head side to side. […]

• Actual harm, isolatedF600Aug 29, 2024

  This citation pertains to Intake MI00146593. Based on observation, interview, and record review, the facility failed to prevent resident to resident and staff to resident abuse for two residents (R24 and R40) of three reviewed for abuse, resulting in a broken leg and verbal abuse. Findings include: R24 On 8/28/24 at 3:20 PM, during an interview with an anonymous resident they reported they didn't understand why R38 was allowed back to the facility after they assaulted another resident. The anonymous resident explained R24 was pulled out of their wheelchair to the ground a couple of days ago by R38, R38 then was on top of R24 which broke their leg. The anonymous resident stated R24 is a small person and was sent out to the hospital. […]

• Actual harm, isolatedF658Aug 29, 2024

  Based on interview, and record review, the facility failed to obtain and assess the blood pressure (B/P) and administer blood pressure medication based on that assessment for one sampled resident (R104) of one reviewed for monitoring, resulting in a significant low blood pressure and hospitalization . Findings include: A review of R104's closed record revealed they were admitted to the facility on [DATE] with a diagnosis of Hidradenitis suppurativa (chronic skin condition featuring lumps in armpits and groin) and hypertension (high blood pressure). […]

• Actual harm, isolatedF684Jul 19, 2023

  This citation pertains to Intake MI00135866. Based on observation, interview, and record review, the facility failed to perform adequate and timely assessment for two of two residents (R42 and R71), resulting in a delay in treatment and evaluation of a fractured arm (R42) and delay in diagnostic evaluation of a resident who complained of abdominal pain (R71). Findings include: R42 A review of multiple Intakes submitted to the State Agency revealed allegations surrounding R42 sustaining a broken arm at the facility. A review of R42's Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was admitted into the facility on [DATE] with medical diagnoses of Cardiovascular Disease, Dementia, Anxiety, Depression, Psychotic Disorder, and Malnutrition. […]