The Vineyards Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 6, 2024

  Based on observation, interview, and the facility policy review, the facility failed to ensure food items were not stored on the floor in the dry storage room. This deficient practice affected all residents who received food from the kitchen. Findings included: An undated facility policy titled, Canned and Dry Goods Storage, revealed, All the food and non-food items purchased by the Department of Food and Nutrition services will be stored properly. The policy specified, 2. Food will be stored above the floor, on shelves, racks or other surfaces that facilitate thorough cleaning, best practice is using stainless steel shelving. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2021

  Based on observation, interview and record review, the facility failed to store, prepare and serve food safely when: 1. The following food items were not labeled with a delivery date or a use-by date: a. 5 containers of breadcrumbs b. 5 containers of grits c. 4 -1 pound (lb) bags of tortilla chips d. 3- 12 X 12 inch packs of rice crispy treats e. 2- 6 lb cans of pizza sauce f. 7- 11.5 ounce (oz) bottles of Real Mayonnaise g. 7 -12 oz bottles of yellow mustard h. Single use packets of mustard, tartar sauce, ketchup, [NAME] Mayo were in undated, transparent plastic containers. i. Assorted sugar-free single use jelly packs were in an undated box. 2. […]

• No harm, potential for more than minimal, isolatedF684Feb 6, 2026

  Based on interviews and record reviews, the facility failed to provide care for Resident 1 that met professional standards of practice when:1. Resident's NPO status before PEG placement procedure was not verified with the physician (NPO is a medical abbreviation for the Latin phrase nil per os, which means nothing by mouth. It is a strict instruction from a doctor to not consume any food, liquids, or sometimes oral medications for a specific period, usually before surgery, PEG stands for Percutaneous Endoscopic Gastronomy. This is commonly referred to as a feeding tube that is placed directly into the stomach through the skin of the abdomen). 2. […]

• No harm, potential for more than minimal, isolatedF679Feb 2, 2026

  Based on interview and record review, the facility did not provide an ongoing activity program to Resident 1 to ensure that she maintained her highest physical, mental and psychosocial well-being. This deficient practice placed Resident 1 at risk of sensory deprivation and social isolation. During an interview on 1/27/26, at 2:27 p.m., with Family Member (FM) 1, FM 1 stated she did not observe Resident 1 having any activities while the resident was still residing in the facility. […]

• No harm, potential for more than minimal, isolatedF678Dec 6, 2024

  Based on interview, record review, and facility policy review, the facility failed to ensure a licensed nurse, who was not certified to perform cardiopulmonary resuscitation (CPR), did not perform CPR on a resident who had a do not resuscitate (DNR) code status. This deficient practice affected 1 (Resident #236) of 6 sampled residents reviewed for advance directives. Findings included: A facility policy titled, Emergency Procedure - Cardiopulmonary Resuscitation, revised ,d+[DATE], indicated, 6. If an individual (resident, visitor, or staff member) is found unresponsive and not breathing normally, a licensed staff member who is verified in CPR/BLS [cardiopulmonary resuscitation/basic life support] shall initiate CPR unless: a. […]