The Villas at Richfield

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 21, 2023

  Based on observation, interview, and document review, the facility failed to failed to store food in a sanitary manor, label opened food, ensure dishes were stored dry; ensure buckets of sanitizing solution were effective, and ensure staff were in the kitchen without appropriate hair coverings. These failures had the potential to affect all 90 residents who consumed food from the kitchen. Findings include: On 09/18/23 at 1:30 p.m., the following observations in the kitchen were made with and verified by the culinary services director: - The red sanitizing bucket in the kitchen was tested and registered zero for sanitizing solution. - Cereal stored in a plastic container lacked labeling and dating. […]

• No harm, potential for more than minimal, widespreadF880Sep 21, 2023

  Based on observation, interview and document review, the facility failed to ensure proper hand hygiene and glove use practies were maintainws for 1 of 5 residents (R26) reviewed during medication administration; and failed to maintain a clean laundry area with dirty fans blowing through the dirty area to clean area in the laundry room which had the potential to affect all residents residing in the facility. Findings include: Hand Hygeine and Glove Use: R26's quarterly Minimum Data Set (MDS) dated [DATE], indicated severe cognitive impairment and included a diagnosis of macular degeneration (a vision impairment resulting from deterioration of the central part of the retina, a thin layer a the back of the eye on the inner side). […]

• No harm, potential for more than minimal, patternF812Aug 21, 2024

  Based on observation, interview, and document review, the facility failed to ensure food and beverages stored in the refrigerators, were labeled, dated and discarded properly. This deficient practice had the potential to affect 87 residents who received food and beverages from the refrigerators. Findings include: On [DATE] at 12:45 p.m., during the final tour of the kitchen area with the dietary manager(DM), the following concerns were identified.: Kitchen Freezer: -six veggie burgers in an opened plastic bag without notation of a date. Kitchen refrigerator: -large plastic container ,d+[DATE] full of Asian salad dressing with black crusty substance around the lid without any notation of the date it had been opened. […]

• No harm, potential for more than minimal, patternF656Nov 27, 2023

  Based on observation, interview and record review the facility failed to develop and implement a comprehensive care plan for 3 of 3 residents reviewed for comprehensive care plans when residents did not comply with their care planned smoking interventions. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], noted R1 had moderately impaired cognition, required the assistance for bed mobility, transfers, bathing, dressing and is non-ambulatory. R1's diagnoses included encephalopathy (a disease that alters brain function), hemiplegia, dysphagia, and weakness. […]

• No harm, potential for more than minimal, patternF880Apr 19, 2021

  Based on observation, interview, and document review, the facility failed to implement correct isolation and quarantine procedures; proper use of personal protective equipment (PPE) by both staff and residents; and proper hand hygiene by staff for 8 of 16 residents (R1, R4, R9, R15, R17, R18, R21, and R26) reviewed for infection control practices. Findings include: The CDC's Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic dated February 23, 2021, indicated health care facilities should implement universal source control measures which included health care personal (HCP) should wear a facemask at all times while in the facility including in breakrooms or other spaces where they might encounter… […]