The Village Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF692May 23, 2024

  Based on observation, interview, and record review, the facility failed to implement a comprehensive systemic approach, to ensure effective monitoring and systems to maintain acceptable parameters of nutritional status, for two of three sampled residents (Resident 17 and 28), when: 1.The facility's Registered Dietitian (RD) failed to: a. Follow the facility's policy titled, Nutritional Assessment, to assess Resident 17's nutritional status; and monitor the effectiveness of nutritional interventions for Resident 17; and b. […]

• Actual harm, isolatedF692Jan 14, 2022

  Based on observation, interview, and record review, the facility failed to ensure nutritional care and services were provided, for one of three residents reviewed for nutrition (Resident 22), when: 1. Weekly weights monitoring were not completed as ordered by the physician; and 2. There was no assessment and interventions initiated to address Resident 22's continued poor food intake and weight loss. In addition, there was no follow up assessment conducted by the Registered Dietitian (RD) to address Resident 22's poor food intake and weight loss. These failures resulted in Resident 22 to have a weight loss of 16.1 pounds (lbs.)/10% (percent) from December 16, 2021 to January 12, 2022 (27 days), which could subsesquently cause further decline in the health status of Resident 22. […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices in the kitchen were observed, when: 1. Dust was found in multiple areas of the kitchen and on several kitchen equipment; 2. Grime buildup was found on the bottom of the cold storage shelves and on the walk in Refrigerator's (Ref) # (number) 1 inner door; and 3. Multiple residents' food items were stored in the nurses' station refrigerator undated and out of date. These failures had the potential to place residents at risk for food-borne diseases (illness that result from ingestion of contaminated food) that can cause sickness and/or death. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner, in accordance with professional standards for food service safety, when: 1. Stacks of dirty pots, pans, and dishes in the three-sections sink area, several with food on them and more dirty dishes noted on a metal shelf across from the three-section sink, one filled with an egg like mixture. 2. Food particles, crumbs, a cookie, broken eggshells, a plastic bowl, and various wrappers were under the stoves and ovens. This failure had the potential to attract further rodents in the kitchen who could transmit disease to 43 of 44 medically compromised residents by contaminating food and food contact surfaces. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, and distribute food in accordance with professional standards for food service safety when: 1. The food service department had no system for ambient food (food that can be safely stored at room temperature in a sealed container, for example, canned tuna fish) cooling down process; 2. Improper labeling for thawing meat; and 3. A tray of diced chicken was found in the walk-in refrigerator, and was passed the used-by-date and not discarded. These failures had the potential to cause foodborne illnesses in a medically vulnerable population of 20 out of total census of 21 residents who received food from the kitchen. Findings: 1. […]