Trailpoint Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 16, 2025

  Based on record review and interview, the facility failed to ensure a CNA (Certified Nurse Assistant) followed the resident's comprehensive care plan and the facility's Mechanical Lift/Hoyer Lift Safety procedure during a transfer from the resident's wheelchair to bed. This resulted in the resident falling to the floor and sustaining multiple fractures and requiring hospitalization. (Resident B) The Immediate Jeopardy began on 5/29/25 at 4:28 P.M., when a CNA failed to follow a resident's comprehensive care plan and transferred a resident, via a Hoyer lift, from a wheelchair to the bed, without assistance. This deficient practice resulted in a fall, from a Hoyer sling, to the ground, in which the resident sustained multiple fractures and requiring hospitalization. […]

• Immediate jeopardy, isolatedF600Aug 19, 2021

  Based on observation, interview and record review, the facility failed to ensure 3 of 3 residents were free from sexual and mental abuse. (Resident B, Resident C and Resident D) The immediate jeopardy began, on 9/24/2020, when the first sexually inappropriate text message was received by Resident D, from facility's staff member/Certified Nurse Aide (CNA) 4. The Administrator was notified of the immediate jeopardy on 8/18/2021 at 1:18 P.M. The immediate jeopardy was removed, and the deficient practice corrected, on 6/25/2021, prior to the start of the survey and was therefore Past Noncompliance. Findings include: 1. On 8/17/21 at 2:15 P.M., a review of the clinical record for Resident D was conducted. The record indicated the resident was admitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Mar 1, 2024

  Based observation and interview the facility failed to ensure food preparation areas and equipment was clean and that food was stored in a sanitary manner. The facility failed to ensure employees utilized hygienic practices when handling food delivery items, and washed their hands after handling the trash receptacle. This had the potential to affect all residents receiving food from the kitchen. Findings include: 1. During an initial observation of the kitchen with the Dietary Manager (DM), on 2/26/2024 at 9:45 A.M., the handwashing sink was dirty. Vents in the ceiling were dirty with dust collected in the slats. Pans used in the steam table were stacked together wet. The oven had a burnt substance on the bottom. […]

• No harm, potential for more than minimal, patternF761Feb 28, 2025

  Based on observation, interview and record review, the facility failed to ensure medications were labels and stored according to professional priniciples on 3 of 4 medication carts observed. (Memory Care, 100 Hall & 400 Hall) Findings include: 1. On 2/27/2025 at 9:30 A.M., a medication storage observation was completed with RN 2 on the Memory Care cart, the following was observed: An opened, undated and unlabeled bottle of calcium magnesium with zinc capsules. In addition, there was a bottle of One a Day Men 50 + vitamin supplement with only a resident's first name written on the lid of the bottle. During an interview on 2/27/2025 at 9:40 A.M., RN 2 indicated a family member had brought them in and the bottles should have had labesl and an opened date on them. 2. […]

• No harm, potential for more than minimal, patternF761Mar 1, 2024

  Based on observation, record review, and interview, the facility failed to ensure medication storage areas were free from loose pills, failed to date medications when opened, and failed to ensure a medication refrigerator was free from ice buildup, for 4 of 6 medication storage areas observed. (#1 & #2 400 Hall medication carts, 100 Hall medication cart, & medication room) Findings include: 1. A medication storage observation on the #1 400 hall medication cart was completed on 2/27/2024 at 2:36 P.M., with LPN 7. There were 2 loose pills in the cart. During an interview, on 2/27/2024 at 2: 39 P.M., LPN 7 indicated the loose pills should not be in the drawer. 2. […]