The Village at Rockville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Oct 11, 2024

  Based on record review and staff interviews, it was determined that the facility failed to provide Cardiopulmonary Resuscitation (CPR) to an unresponsive resident whose active Maryland Orders for Life Sustaining Treatment (MOLST) instructed to Attempt CPR if cardiac and/or pulmonary arrest occurs. This was evident for 1 (#137) of 21 residents reviewed for abuse during the survey. This deficient practice led to an immediate jeopardy for Resident #137 on [DATE]. Following the incident, the facility implemented effective and thorough corrective measures. The facility's plan and action were verified during this survey; therefore, this deficiency was cited as past noncompliance. The date of correction was [DATE]. […]

• No harm, potential for more than minimal, widespreadF941Oct 11, 2024

  Based on record review and interview, it was determined that the facility failed to ensure that direct care staff had mandatory communication training. This was evident for 8 staff (#15, #17, #18, #19, #20, #21, #22, #23), of 8 staff training records reviewed for communication training during the extended survey portion of the recertification survey. The findings include: On 10/08/24 at 10:34 AM, eight randomly selected employee files were requested as part of the staffing facility task of the standard survey, and included Geriatric Nursing Assistants, Licensed Practical Nurses, and a Registered Nurse. On 10/09/24 at 3:53 PM, the extended survey task was triggered due to an Immediate Jeopardy situation determined during the standard survey. […]

• No harm, potential for more than minimal, patternF550Mar 3, 2026

  Based on observation and interview, it was determined that the facility failed to ensure residents were treated in a manner that maintained dignity. This was evident for 2 (Resident #168 and Resident #57) out of 12 residents observed.The findings include:On 02/27/2026 at 12:16 PM, this surveyor observed residents on the 2 Virginia Memory Care floor being served food in the dining area.On 02/27/2026 at 12:33 PM, it was observed that a group of residents were seated together at a dining table. One resident seated at the head of the table (Resident #153) had been served at that time.On 02/27/2026 at 12:39 PM, it was observed that the remaining residents seated at the table (Residents #153, #84, #69, #59, #107, #17, #21, and #93) had received their meal trays and were eating. […]

• No harm, potential for more than minimal, patternF584Mar 3, 2026

  Based on observations and interviews, it was determined that the facility failed to ensure that 1) the environment was in good repair in 3 (Resident rooms #3142, #3145, & #3147) out of 32 Resident rooms and 2) Residential hot water temperature was safe in 5 (#2390, #2391#2220, #2215, and #2212) out of 5 Resident rooms observed for the environment during the recertification and complaint survey. The findings include: 1) During a tour of the facility conducted on 02/25/26 at 9:07 AM, the Surveyor observed Resident room [ROOM NUMBER], #3145, and #3147 with large areas of peeling paint behind the Resident beds. The Surveyor also observed in Resident room [ROOM NUMBER] the nightstand with peeling contact paper on top. […]

• No harm, potential for more than minimal, patternF812Mar 3, 2026

  Based on observation and interview, it was determined that the facility failed to ensure food items were stored in accordance with professional standards for food service safety. This was identified during the kitchen facility task conducted as part of the annual/complaint survey.The findings include:On 02/25/2026 at 8:41 AM, this surveyor observed items in the refrigerator of the facility's kitchen that were labeled for discard but had not been removed, including:Salad bar cut vegetables labeled Discard by 02/23/2026 07:27 PM.Cut green and red peppers wrapped in plastic wrap with no label or date.On 02/25/2026 at 9:02 AM, this surveyor observed items in the deep freezer that were labeled for discard or were unlabeled and undated, including:A tray of carrots labeled Veg with a discard date… […]