Vermillion Convalescent Center

In the surveyor’s words

From the most serious findings on record at Vermillion Convalescent Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Aug 19, 2025

  A. Based on observation, record review, and interview, the facility failed to ensure hand hygiene was performed during the medication pass and appropriate infection control techniques were utilized for 5 of 5 residents medication passes observed (Residents 33, 36, 48, 28, and 62). B. Based on observation, record review, and interview, the facility failed to ensure enhanced barrier precautions (EBP) (use of gowns and gloves during high-contact resident care activities) were followed for 2 of 5 residents' medication passes observed (Residents 33 and 10). Findings include:A. On 8/15/25 at 8:06 a.m., Registered Nurse (RN) 22 was observed preparing medication for Resident 33. During the preparation, one of the pills fell onto the medication cart. […]

• No harm, potential for more than minimal, patternF761Jul 13, 2022

  Based on observation and interview, the facility failed to ensure medications and biologicals were labeled, stored, and destroyed properly, and medications were not left unsecured in 1 of 2 hallway pantries observed for resident supply storage (South hallway pantry) for 10 of 10 residents medications observed (Residents 11, 49, 24, 316, 27, 4, 317, 55, 318, and 316). Findings include: On 7/8/22 at 10:02 a.m., the South hallway pantry room door was observed to be open. There were no staff present around the nurse's station. On 7/8/22 at 10:50 a.m., the South hallway pantry room door was observed to be open. There were no staff present at around the nurse's station. […]

• No harm, potential for more than minimal, patternF744Aug 24, 2021

  Based on interview, and record review, the facility failed to ensure residents on the dementia unit received medications in accordance with their dementia care plans for 6 of 6 residents reviewed. (Residents B, C, D, E, F and G). Findings include: On 8/23/21 at 11:20 a.m., a family member of a resident on the dementia unit was interviewed. She indicated she had witnessed a Qualified Medication Aid (QMA) 5 working on the unit give Resident B his medications. She indicated QMA 5 had smashed medications into the resident's mouth after he had said he didn't want them. The resident spit and manually removed the medications with his hand from his mouth and the QMA smacked his hand. […]

• No harm, potential for more than minimal, patternF725May 18, 2021

  Based on observation, interview, and record review, the facility failed to ensure sufficient nursing staff to provide nursing and related services resulting in activities not being provided for 3 of 3 residents observed on the secured memory care unit (Resident 27, Resident 28, and Resident 26), and nail care was not being provided to 1 of 4 residents reviewed for activities of daily living (Resident 60). Findings include: 1. Confidential interviews were conducted during the course of the survey. A confidential interviewee indicated there were several days during the week over the past month where only 1 Certified Nursing Assistant (CNA) would be scheduled to work the secured memory care unit. […]

• No harm, potential for more than minimal, isolatedF604Jun 18, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident was assessed and a physician order was obtained prior to utilizing an audible bed and chair alarm for 1 of 2 residents reviewed for falls (Resident B). Findings include:On 6/17/26 at 12:35 p.m. during an initial observation and interview, Resident B sat in the main dining room with her husband. She was alert with some confusion noted during the interview. The resident indicated she had some falls but had not been hurt any of the times she fell. The resident was sitting in her wheelchair on a black air filled cushion and an incontinent pad. No anti-skid material was observed in the wheelchair. Observed anti-tip bars to the lower bottom of the wheelchair. The bars were upside down. […]