Vian Nursing & Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Vian Nursing & Rehab, LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 18, 2025

  Based on record review and interview, the facility failed to ensure a resident was not burned by a hot drink for 1 (#1) of 4 sampled residents reviewed for accident hazards related to hot drinks.The administrator identified 53 residents resided at the facility.Findings:A facility policy titled Safety of Hot Liquids, dated October 2014, read in part, Residents will be evaluated for safety concerns and potential for injury from hot liquids upon admission, readmission and on change of condition. […]

• No harm, potential for more than minimal, widespreadF812Dec 21, 2023

  Based on observation and interview the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. The administrator identified 44 residents resided in the facility. Findings: On 12/18/23 at 8:43 a.m., an initial tour of the kitchen was conducted. The following observations were made. On 12/18/23 at 8:46 a.m., scoops were observed in the sugar bin and in the salt bin. A 50 oz can of cream of chicken soup and a 50 oz can of cream of celery soup were on the shelf and not dated. On 12/18/23 at 8:48 a.m., a pan in the refrigerator with foil over the top was labeled birthday cake and dated 12/15 and the foil was torn open to air. A cut onion was observed in a sealed bag not labeled or dated. […]

• No harm, potential for more than minimal, patternF582Apr 24, 2025

  Based on record review and interview, the facility failed to ensure form CMS-10055 included an estimated cost of skilled services the resident would need to pay in the absence of Medicare coverage for 3 (#31, 37, and #60) of 3 sampled residents reviewed for beneficiary notices. MDS Coordinator #1 stated nine residents had been discharged from skilled nursing services between 10/21/24 and 04/21/25. Findings: 1. A review of a CMS-10055 form, dated 12/03/24, for Res #37 showed an estimated cost for ending skilled nursing services was not provided to the resident. In the section of the form where the estimated cost of services was to be provided the word Pending was written. 2. […]

• No harm, potential for more than minimal, patternF600Apr 24, 2025

  Based on record review and interview, the facility failed to ensure a resident received prescribed supplemental feedings for 1 (#50) of 1 sampled resident reviewed for neglect. The administrator reported the facility census was 56. Findings: A facility policy titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program, revised 04/2021, read in part, Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. An admission record, dated 08/28/23, showed Res #50 had diagnoses which included dementia and dysphagia (difficulty swallowing). A physician order, dated 07/08/24, read in part, If resident eats 50%or less of meal, administer Jevity 1.5 [a nutritional supplement] via bolus [a single large dose] feeding method. […]

• No harm, potential for more than minimal, patternF623Apr 24, 2025

  Based on record review and interview, the facility failed to ensure residents were provided with a written notice of transfer prior to being transferred to a hospital for 2 (#1 and #21) of 2 sampled residents reviewed for hospitalizations. The DON stated 52 residents were transferred to a hospital between 10/23/24 and 04/23/25. Findings: A facility policy titled Transfer or Discharge, Facility Initiated, dated 2001, read in part, Notice of transfer is provided to resident and representative as soon as practicable before the transfer and to the long-term care (LTC) ombudsman when practicable (e.g., in a monthly list of residents that includes all notice content requirements). 1. […]