Via Christi Village Manhattan, Inc

In the surveyor’s words

From the most serious findings on record at Via Christi Village Manhattan, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Feb 24, 2026

  The facility identified a census of 89 residents, with three residents reviewed for medication errors. Based on record review, observation and interview, the facility failed to ensure Resident (R) 1 remained free from significant medications errors. On 02/04/26, Certified Medication Aide (CMA) R administered R1 another resident's medications, which included multiple medications that affected the central nervous system and had psychotropic qualities including Paxil (antidepressant), lorazepam (antianxiety), tizanidine (muscle relaxant), and clozapine (antipsychotic), as well as other medications including Cardizem (antihypertensive), metformin (diabetic medication), and furosemide (diuretic). […]

• Immediate jeopardy, isolatedF689Jul 29, 2025

  The facility identified a census of 87 residents, with three residents reviewed for accidents and hazards. Based on record review, observation, and interview, the facility staff failed to ensure two staff safely transferred Resident (R)1 with a full mechanical lift as care planned. On [DATE] at 01:20 PM, CNA M was transferring R1 into her wheelchair with the full mechanical lift (Hoyer), without the assistance of the required second staff member. During the transfer, the bottom left sling loop came off the Hoyer lift, causing R1 to fall to the ground. Due to CNA M not following R1's care plan, R1 fell, broke her right distal femur, had extreme pain untreated by pain medication, and subsequently died. […]

• Immediate jeopardy, isolatedF760Dec 13, 2023

  The facility identified a census of 80 residents with three residents reviewed for medication errors. Based on record review, observation, and interview, the facility failed to ensure Resident (R) 1 remained free from significant medication errors. On 12/07/23 R1 admitted to the facility with a physician's order for glimepiride (medication used to lower blood glucose [sugar] levels) 2 milligrams (mg) twice daily. Staff incorrectly transcribed the order as glimepiride 4 mg twice daily. R1 received a total of seven doses of glimepiride, at twice the prescribed dosage, before staff caught the error on 12/11/23 at 09:30 PM. Staff did not check R1's blood sugar but notified R1's representative and primary care physician (PCP) and stated there were no adverse effects from the error. […]

• Immediate jeopardy, isolatedF689Oct 26, 2023

  The facility identified a census of 85 residents. The sample included three residents. Based on observations, record review, and interviews, the facility failed to provide a safe environment free from preventable accidents for Resident (R) 1 and R2. On 10/14/23 Certified Medication Aide (CMA) R picked R1 up from the emergency room (ER) using the facility transportation van. CMA R assisted R1, who used a wheelchair, into the van. CMA R failed to secure the two front straps as well as the lap strap. As CMA R made the first left hand turn after leaving the hospital, R1's wheelchair tipped backward, and R1 fell from the chair and hit his head. R1 returned to the ER where he was diagnosed with a fracture of the cervical vertebrae (neck spine). […]

• Immediate jeopardy, isolatedF689Aug 10, 2023

  The facility identified a census of 79 residents with three residents reviewed for elopements. Based on record review, observation, and interview, the facility failed to provide adequate supervision to prevent an elopement (when a cognitively impaired residents exits the facility without staff knowledge or supervision) for cognitively impaired Resident (R) 1, who also wore a Wander Guard (bracelet which alarms when close to participating doors). Staff further failed to respond appropriately to two door alarms and failed to respond appropriately to the cognitively impaired R1. On 07/22/23 at 08:53 PM a visitor entered the code to the locked double doors and R1 followed the visitor through the double doors, exiting the unit. […]