The Village

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 14, 2024

  Based on direct observation, staff interview, facility documentation, and facility policy review, the facility failed to implement measures to ensure safety for each resident identified at risk of injury to themselves for 1 of 4 residents reviewed. The facility reported a census of 49. Findings include: The Quarterly Minimum Data Set (MDS) for Resident#26, dated 10/02/24, documented relevant diagnoses of heart failure, hypertension, history of fractures, Non-Alzheimer's Dementia, seizure disorder, depression, and a history of falling. It documented her brief interview for mental status (BIMS) score as 03, which indicated severely impaired cognition. […]

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

  Based on observation, staff interviews, and document review, the facility failed to store and prepare food in accordance with professional standards for 51 of 51 residents. Resident food had not been prepared under sanitary conditions and with clean sanitary equipment. The facility reported a census of 51 residents. Findings include: On 10/30/23 at 11:00 AM an observation during the initial Primary Kitchen tour revealed the following: A Vulcan grill noted to have a buildup of dark brown substance between grates. Edges and sides of the grill were covered with brownish liquid stuck to the surfaces and accumulated directly underneath the grill tile floor. The tile floor underneath the equipment was covered with layers of debris. […]

• No harm, potential for more than minimal, widespreadF812Aug 3, 2021

  Based on observation, staff interview, and facility policy review, the facility failed to store and always prepare food in accordance with professional standards for food service safety. The facility reported a census of 39 residents. Findings include: Observation of the initial kitchen and Cafe tour on [DATE] at 10:52 a.m. revealed the following: a. Two expired bottles of lemon juice with an expiration date of [DATE] & [DATE] b. Opened and undated zip lock bag of crushed peppermint c. Boxes on floor outside of walk-in freezer with soda pop and bananas d. Uncovered and undated pan of brownies e. Uncovered and undated glass of milk on counter f. Opened and undated bag of graham crumbs g. Opened and undated large bag of uncooked noodles h. […]

• No harm, potential for more than minimal, patternF550Dec 2, 2025

  Based on clinical record review, resident and staff interview, the facility failed to ensure each resident is treated with dignity and respect and cared for in a manner and environment that promotes maintenance or enhancement of his or hers quality of life for 2 of 3 residents reviewed. (Residents #1 and #2) The facility reported census was 43.Findings include: 1.According to a Minimum Data Set (MDS) with a reference date of 7/5/25, Resident #1 had a Brief Mental Status (BIMS) score of 14 of 15, indicating an intact cognitive status. Resident #1 required maximal to dependent assistance with transfers, mobility, dressing, toilet use and personal hygiene needs and was determined as always incontinent of bladder and occasionally incontinent of bowel. […]

• No harm, potential for more than minimal, patternF880Nov 14, 2024

  Based on record review, observations, staff interviews, and policy review, the facility failed to implement Enhanced Barrier Protection (EBP) practices for residents with indwelling medical devices and wounds for 4 of 4 residents reviewed (Resident #3, Resident #21, Resident #39, and Resident #109) reviewed for infection control. The facility failed to sanitize a multi-resident use mechanical lift in-between use for 2 of 3 households (Juniper and Magnolia) observed for equipment sanitation. The facility failed to provide infection prevention practices during urinary catheter cares for 1 of 2 residents (Resident #21) observed for catheter cares. The facility reported a census of 49. Findings include: 1. […]