The Village at Germantown

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880Sep 11, 2025

  Based on Centers for Disease Control and Prevention (CDC) guidelines, facility policy review, Glucometer (a device used to check blood sugar levels with the use of a blood sample) User's Guide review, skills check off list review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when a multi-use blood glucose meter was not cleaned or disinfected with an Environmental Protection Agency (EPA) approved disinfecting wipe to prevent the cross-contamination of bloodborne pathogens and failed to ensure staff properly performed hand hygiene for 1 of 2 (Resident #23) sampled residents reviewed for blood glucose monitoring. […]

• Actual harm, isolatedF686Sep 22, 2022

  Based on review of the National Pressure Injury Advisory Panel (NPIAP) Prevention and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] #16) reviewed with in-house acquired pressure ulcers. The facility's failure to provide preventative treatment, identification, assessment, reporting, and appropriate treatment resulted in actual Harm for Resident #16. The findings include: Review of the National Pressure Injury Advisory Panel (NPIAP) Prevention and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] .Conduct a comprehensive skin and tissue assessment for all individuals at risk of pressure injuries: As soon as possible after admission/transfer to the healthcare service .As a part of every risk assessment .Periodically as indicated by the individual's degree of pressure injury risk… […]

• No harm, potential for more than minimal, patternF757Sep 11, 2025

  Based on policy review, medical record review, and interview, the facility failed to ensure residents were free from unnecessary medications for 3 of 5 (Resident #2, #5, and #9) reviewed for unnecessary medications. The findings include: 1. Review of the facility policy titled, Use of Psychotropic Medications(s), dated 12/19/2023, revealed .Residents who receive an antipsychotic medication will have an Abnormal Involuntary Movement Scale (AIMS) test performed on admission, quarterly, with a significant change in condition, change in antipsychotic medication, PRN [as needed] or as per facility policy.The effects of the psychotropic medications on a residents physical, mental, and psychosocial well-being will be evaluated on an ongoing basis such as.In accordance with nurse assessments and… […]

• No harm, potential for more than minimal, patternF812Sep 11, 2025

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, handle, prepared, and served under sanitary conditions, when food was found opened and undated, and dirty cooking utensils were found on the floor. The census was 52 with 49 residents receiving a meal tray from the kitchen. The findings include: 1. Review of the facility policy titled, Food Storage, dated 1/14/2024, revealed .Date marking to indicate the date or day by which a ready-to-eat, potentially hazardous food should be consumed, sold, or discarded will be visible on all high risk foods.Each item is clearly labeled and dated before being refrigerated. […]

• No harm, potential for more than minimal, patternF812Sep 22, 2022

  Based on policy review, observation, and interview, the facility failed to ensure food was served under sanitary. The facility had a census of 36 with 21 of those residents receiving a food tray from the Care Base 3 Kitchen. The findings include: Review of the facility's undated policy titled, Food Temperatures, revealed .To take temperatures, a clean, rinsed, sanitized .thermometer .is needed .read and record the temperature .and immediately clean and sanitize. Repeat these guidelines until all hot food temperatures have been taken . Review of the facility's undated policy titled, Food Storage Guidelines, revealed .3 days .open lunch/deli meats . […]