Via Christi Village Ridge

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Dec 14, 2022

  The facility reported a census of 59 residents with two residents reviewed for abuse. Based on record review and interview, the facility failed to ensure Resident (R) 1 was free from the inappropriate sexual behaviors/advances of R2, who had a history of inappropriate sexual behaviors; both verbal towards the staff in the facility and physical towards R1 on 11/05/22. R2 was treated with medication to help reduce sexual behaviors and the care plan directed staff to monitor R2 and encourage him not to sit within arm's length of female residents. However, on 12/06/22, due to lack of staff supervision, R2 spent an unknown amount of time in R1's room and put his hand up her shirt and down her pants, touching R1's chest and genitals. […]

• Actual harm, isolatedF600Feb 11, 2026

  The facility reported a census of 69 residents. The sample included 17 residents, with one resident reviewed for pain and activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to ensure Resident (R) 55 remained free from neglect when the facility failed to provide necessary care and services staff were aware R55 needed and had multiple failures, which resulted in delayed healing, physical discomfort, and decreased quality of life. Findings included:- R55's Electronic Medical Record (EMR) revealed diagnoses of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), contact dermatitis (skin rash), and overactive bladder. […]

• Actual harm, isolatedF689Jun 25, 2024

  The facility identified a census of 56 residents with three residents reviewed for falls. Based on record review and interview, the facility failed to immediately implement interventions to prevent further falls for Resident (R) 1 after R1 had to be lowered to the floor when her left leg buckled underneath her. This failure led to another staff-assisted fall later the same day. As a result of this deficient practice, R1 sustained a severe fracture of the left ankle. This deficient practice also placed R1 at risk for pain, impaired mobility, and decreased independence. […]

• No harm, potential for more than minimal, widespreadF880Feb 11, 2026

  The facility reported a census of 69 residents. The sample included 17 residents. Based on interviews, observation and record review, the facility failed to utilize Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) and failed to follow appropriate infection control practices related to hand hygiene, sanitization of shared equipment, and sanitary storage of respiratory equipment. Findings included:1. On 02/09/26 at 11:05 AM, Certified Nurse Aide (CNA) N and CNA O assisted R55 to bed using the mechanical lift. R55 had a colostomy (a surgical creation of an artificial opening on the stomach wall to excrete feces from the body). […]

• No harm, potential for more than minimal, patternF759Apr 4, 2024

  The facility reported a census of 72 residents. The facility identified four medication storage rooms and six medication carts used to administer medication to the residents. Based on observations, interviews, and record review, the facility failed to ensure that the medication administration error rate was no greater than five percent (%) when errors occurred with 22 of 27 observed medications had errors when the Licensed Nurse (LN) failed to confirm the medications administered against the physician's order or the eMAR (electronic medication administration record). […]