Vancrest of Payne

In the surveyor’s words

From the most serious findings on record at Vancrest of Payne, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF609Dec 23, 2025

  Based on observation, resident family interview, staff interviews, review of facility self-reported incidents (SRIs), and review of facility policy, the facility failed to report an allegation of injury of unknown origin. This affected one (#35) of two residents reviewed for abuse. The facility census was 37. Findings include:Review of the medical record revealed Resident #35 was admitted on [DATE] and discharged on 11/07/25. Diagnoses included Alzheimer's disease with early onset, age related osteoporosis without current pathological fracture, anxiety disorder, circadian rhythm sleep disorder, and dementia in other diseases classified elsewhere moderate with anxiety.Review of the Minimum Data Set (MDS) assessment, dated 11/07/25, revealed the resident was severely cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF686Dec 23, 2025

  Based on medical record review, staff interview, and review of facility policy, the facility failed to ensure newly identified skin impairments were thoroughly evaluated and assessed. This affected one (#24) of one resident reviewed for pressure ulcers. The facility census was 37.Findings include:Review of the medical record revealed Resident #24 was admitted on [DATE] and discharged on 11/22/25. Diagnoses included urinary tract infection, atherosclerotic heart disease of native coronary artery without angina pectoris, cognitive communication deficit, major depressive disorder, essential hypertension, hyperlipidemia, primary osteoarthritis, hypotension, type two diabetes mellitus without complications. […]

• No harm, potential for more than minimal, isolatedF760Oct 31, 2024

  Based on medical record review, staff interview, physician interview, and review of medication information from Medscape, the facility failed to administer seizure medications for a resident who was admitted to the facility from the hospital with a new onset of seizure disorder resulting in significant medication errors. This affected one (Resident #30) of three residents reviewed for medication administration. The facility census was 29. Findings include: Review of the medical record of Resident #30 revealed an admitted [DATE], a transfer to the hospital on 09/25/24 and then discharged home on 09/25/2024, with a return to the facility on [DATE] after retruning to the hosptial on 09/29/2024. […]

• No harm, potential for more than minimal, isolatedF677Jan 19, 2023

  Based on observations, staff interviews, record review, and policy review, the facility failed to ensure a dependent resident received timely personal hygiene care. This affected one resident (#11) out of two residents reviewed for activities of daily living (ADL). The facility identified all 24 residents required assistance from staff with bathing and dressing. The facility census was 24. Findings include: Review of the medical record for Resident #11 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, isolatedF625Aug 23, 2022

  Based on medical record review, review of the facility policy for bed-hold, and staff interview, the facility failed to ensure resident or resident representative receive the bed-hold policy upon discharge from the facility. This affected one (Resident #34) of three residents reviewed for discharge. The facility census was 32. Findings included: Review of medical record for Resident #34 revealed admitted [DATE]. The resident was admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]